留置导尿技术 Urinary Catheterization 廖晓艳博士博士生导师主任护师 南方医科大学南方医院增城分院护理部 nfyyhlb@126.com
留置导尿技术 Urinary Catheterization 廖晓艳 博士 博士生导师 主任护师 南方医科大学南方医院增城分院护理部 nfyyhlb@126.com
导尿术 Introduction 将无菌导尿管置入膀胱呙引 流尿液的方法。 ·经尿道导尿术 Inflated balloon- ·耻骨弓上导尿术 Foley Catheter
将无菌导尿管置入膀胱引 流尿液的方法。 Introduction 导尿术 • 经尿道导尿术 • 耻骨弓上导尿术
主要内容 目的 禁忌症 尿管的种类 四、 尿道解剖特点 五、〉 准备 六、操作程序 七 注意事项 八、并发症
主要内容 一、目的 二、禁忌症 三、尿管的种类 四、尿道解剖特点 五、准备 六、操作程序 七、注意事项 八、并发症
Scenario A A 40 year old male presenting as a trauma with blood at the urethralmeatus and a non-palpable prostate
Scenario A A 40 year old male presenting as a trauma with blood at the urethralmeatus and a non-palpable prostate
Scenario B A 75 year old male with an enlarged prostate presenting with septic shock secondary to pneumonia,requiring urinary catheterization for monitoring of resuscitation
Scenario B A 75 year old male with an enlarged prostate presenting with septic shock secondary to pneumonia, requiring urinary catheterization for monitoring of resuscitation
一、目的 Indications ·解除尿潴留 协助诊断 ·细菌培养 。 监测尿量 。 尿流动力学测量:膀胱容量、压力及残余尿 鉴别尿闭与尿潴留 ● 进行尿道或膀胱造影等 协助治疗 ·如胱内化疗
• 解除尿潴留 • 协助诊断 • 细菌培养 • 监测尿量 • 尿流动力学测量:膀胱容量、压力及残余尿 • 鉴别尿闭不尿潴留 • 进行尿道或膀胱造影等 • 协助治疗 • 如胱内化疗 Indications 一、目的
二、禁忌症 Contraindications Foley catheters are contraindicated in the presence of urethral trauma. 尿道周围有严重感染 ·急性前列腺炎 ·急性附睾炎 。 急性尿道炎 ·全身出血性疾病
Contraindications Foley catheters are contraindicated in the presence of urethral trauma. 二、禁忌症 • 尿道周围有严重感染 • 急性前列腺炎 • 急性附睾炎 • 急性尿道炎 • 全身出血性疾病
三、导尿管的种类 Urethral catheter types ①直头Straight tip 2 ②弯头Coude tip 3 ③三腔3-way catheter irrigation 3
三、导尿管的种类 Urethral catheter types ①直头 Straight tip ②弯头 Coude tip ③三腔 3-way catheter irrigation
三、导尿管的种类 Urethral catheter types Catheters are sized in units called French One Fr equals 1/3 of 1 mm Catheters vary from 12(small) Fr to 48 (large)Fr(3-16 mm) in size
• Catheters are sized in units called French • One Fr equals 1/3 of 1 mm • Catheters vary from 12 (small) Fr to 48 (large) Fr (3-16 mm) in size 三、导尿管的种类 Urethral catheter types