儿童尿道成形术后膀胱痉挛1例报告

Yan Zeng, Jun Zeng
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引用次数: 0

摘要

小儿尿道下裂术前行尾侧阻滞治疗,其膀胱痉挛的发生率并不多见。我们提出一个病例膀胱痉挛后尿道成形术成功治疗山莨菪碱没有任何后遗症。尾侧阻滞面可能只到达骶骨而不到达膀胱壁。我建议局麻药剂量为1ml /kg,总计不超过20ml,以避免术后膀胱痉挛的发生,增加患儿的舒适度。
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Bladder Spasm in Children after Surgery for Urethroplasty: A Case Report
The incidence of bladder spasm in children with hypospadias treated with caudal block before surgery is uncommon. We presented a case of bladder spasm after urethroplasty surgery that was successfully treated with anisodamine without any sequelae. The caudal block plane may only reach the sacrum and does not reach the bladder wall. I suggest a local anesthetic drug dose of 1 ml/kg, totaling not more than 20 ml, to avoid the occurrence of postoperative bladder spasm and increase the comfort of children.
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