尿潴留：单侧腰方肌持续镇痛的一种可能并发症——一例报告。

Q2 Medicine

Romanian journal of anaesthesia and intensive care Pub Date : 2019-04-01 DOI:10.2478/rjaic-2019-0011

Dan Sebastian Dîrzu, Cosmin Dicu, Noémi Dîrzu

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引用次数: 5

摘要

目的：腰方肌持续镇痛是一种安全有效的股骨近端手术新方法。本报告的目的是表明，我们可能没有意识到这项技术可能出现的所有并发症，即使是单侧阻断，也可能出现尿潴留。病例报告：对一名肥胖、插管、机械通气的女性患者，采用俯卧位切除股骨肿瘤，我们进行了经肌腰方肌阻滞（TQL）。我们安装了导管，并在术后持续输注局部麻醉剂。患者出现尿潴留。放置导尿管，并在整个局部麻醉输注期间保持导尿管。手术后72小时取出导管后，患者恢复了正常的膀胱功能。结论：腰方持续镇痛时，即使是单侧镇痛，尿潴留也是一种可能的并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Urinary retention: a possible complication of unilateral continuous quadratus lumborum analgesia - a case report.

Objective: Continuous quadratus lumborum (QL) analgesia is a new option for proximal femur surgery considered safe and effective. The purpose of this report was to show that we may not be aware of all the possible complications of this technique, and urinary retention may occur even when the block is performed unilaterally.

Case report: To an obese, intubated, mechanically ventilated, female patient, operated in prone position for removal of a femur tumour, we performed a trans-muscular quadratus lumborum block (TQL). We mounted a catheter and administered continuous infusion of local anaesthetic in the postoperative period. The patient experienced urinary retention. A urinary catheter was placed and it was maintained for the entire period of local anaesthetic infusion. When the catheter was removed, 72 hours after the surgery, the patient resumed normal bladder functions.

Conclusion: Urinary retention is a possible complication when continuous quadratus lumborum analgesia is used, even when performed unilaterally.

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来源期刊

Romanian journal of anaesthesia and intensive care Medicine-Emergency Medicine

CiteScore

2.30

自引率

0.00%

发文量

期刊介绍： The Romanian Journal of Anaesthesia and Intensive Care is the official journal of the Romanian Society of Anaesthesia and Intensive Care and has been published continuously since 1994. It is intended mainly for anaesthesia and intensive care providers, but it is also aimed at specialists in emergency medical care and in pain research and management. The Journal is indexed in Scopus, Embase, PubMed Central as well as the databases of the Romanian Ministry of Education and Research (CNCSIS) B+ category. The Journal publishes two issues per year, the first one in April and the second one in October, and contains original articles, reviews, case reports, letters to the editor, book reviews and commentaries. The Journal is distributed free of charge to the members of the Romanian Society of Anaesthesia and Intensive Care.