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病例:女性,32岁。于1987年5月15日行全子宫切除术。术中出血多,血压不平稳,波动于40/20～90/50mmHg之间。术后血压恢复正常,但持续无尿,32小时以后才有少量尿液(<10毫升/小时)由留置导尿管流出。术后第三天行输尿管插管及逆行造影术。插管时双侧均进入输尿管10cm处受阻;逆行造影图象示双输尿管下1/3处均有环状缠绕物。立即手术探查,见双输尿管及其周围软组织均被1号肠线8字形结札,肠线结软胀增粗。紧张度不大,除去肠线结后见输尿管壁无明显变化坏死,留置双侧输尿管导管做引流支架。术后尿量大增。痊愈出院。讨论: 1、本例误札输尿管的原因是术中出血、术野
Case: Female, 32 years old. On May 15, 1987 hysterectomy. Intraoperative bleeding, blood pressure is not stable, fluctuating between 40/20 ~ 90 / 50mmHg. Postoperative blood pressure returned to normal, but continued to be anuria. Only a small amount of urine (<10 ml / h) was withdrawn from the indwelling catheter after 32 hours. The third day after surgery, ureteral intubation and retrograde angiography. Intubation both sides of the ureter were blocked at 10cm; retrograde angiography showed double ureter under the 1/3 have a circular wound. Immediate surgical exploration, see the double ureter and its surrounding soft tissue were No. 1 gut eight-shaped knot Sa, gut knot swell thick. Tension is not great, see the ureter wall after removal of gut knot no significant changes in necrosis, indwelling bilateral ureteral catheter drainage stent. Postoperative urine output increased significantly. Healed and discharged. Discussion: 1, this case misinterpretation of the ureter due to intraoperative bleeding, surgery