目的 应用腰穿测压管测量重症患者的膀胱内压.方法 收集我院ICU病房2018年3月至2018年5月收治的重症患者,随机抽取30例无菌导尿后,接入腰穿测压管,直接读取玻璃测压管内水柱高度,测量的膀胱内压数值可间接反应腹内压情况.结果 腰穿测压管对膀胱内压力测量过程顺利,与尿动力系统测压法有较好一致性.结论 腰穿测压管测量膀胱内压操作简便,测量精确,对重症患者的治疗起着重要的指导作用.

Objective: To study the feasibility of application of preoperative magnetic resonance cholangiopancreatography(MRCP) evaluation in preventing bile ducts injuries in laparoscopic cholecystectomy(LC).Methods: The clinical data of 360 patients who underwent MRCP examination before LC between Jan.2010 and Apr.2013 were analyzed retrospectively.Results: LC was conducted successfully in all 360 patients with no bile ducts injuries.The mean operation duration was(80 ± 50) min,and the abdominal drainage tube was removed 48 to 96 h postoperatively.No intestinal or bile leakage,hemorrhage or incision infection occurred.Patients took ambulation 6 h postoperatively,and recovered to normal diet 6 to 24 h after operation.The mean postoperative hospital stay was(4.5 ±1.5) d.Conclusions: Routine preoperative MRCP examination could effectively prevent intraoperative bile ducts injuries.It is a kind of safe,inexpensive and simple examination without clinical adverse reaction,and can be easily adopted by patients.