【作者】 邰圣城； 王宁； 汪凯； 孙吉； 范祎； 林连祥； 杨玻；

【Author】 WANG Ning;WANG Kai;SUN Ji;FAN Yi;LIN Lianxiang;YANG Bo;Department of Urology,Zhejiang Xiaoshan Hospital;Department of Urology,The Second Affiliated Hospital of Dalian Medical University;

【机构】 浙江萧山医院泌尿外科； 大连医科大学附属二院泌尿外科；

【摘要】 目的:探讨导尿所诱发的迷走反射等心脑血管严重不良事件的原因和防治。方法:回顾5例尿潴留或经尿道操作后患者,导尿诱发心脑血管严重不良事件的临床诊治经过,结合文献分析病例特点和诊疗过程。结果:本组5例患者均为男性,分别于留置导尿过程中或之后即刻出现意识障碍、生命体征不稳定甚至猝死,3例考虑与迷走反射有关,其中2例抢救无效死亡;其余2例经积极抢救后治愈,无后遗症。结论:导尿诱发的迷走反射等心脑血管不良反应较少见,严重时可威胁患者生命,应引起足够的重视及警惕,对于已发生的迷走反射,应及时终止经尿道操作的再刺激,警惕不良反应二次发作的可能。更多还原

【Abstract】 Objective To evaluate the prevention and treatment of vasovagal reaction and cardiovascular adverse events induced by catheterization.Methods 5 cases of urinary retention suffered from vagal reflex and cardiocerebral vascular adverse reaction which was induced by catheterization were reviewed.Results The patiens developed consciousness disorders,instability of vital sign and even sudden death due to vagal reflex.Conclusion Major cardiocerebral vascular adverse events and vagal reflex in transurethral procedure is rare and life threatening.The procedure should be terminated in case of the onset of the adverse events.更多还原