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Acute urinary retention
Introduction
Introduction Acute urinary retention refers to the sudden onset of symptoms that cannot urinate and expand the bladder. The clinical manifestations are painful symptoms such as bloating and pain in the lower abdomen, distress in the urine, inability to urinate, and uneasiness. Acute urinary retention is one of the most common emergencies in urology. The onset is acute, the patient is suffering, and urgent diagnosis and timely treatment are needed.
Cause
Cause
According to the cause, mechanical obstruction and dynamic obstruction can be divided into two categories. Among them, mechanical obstruction includes urethral injury or calculus, sudden blockage of foreign body or benign prostatic hyperplasia, urethral stricture and the like. Dynamic obstruction includes acute damage to the central and peripheral nerves, inflammation, edema of the disease, various relaxing smooth muscle drugs such as atropine, and prubensin.
Examine
an examination
Related inspection
Intravenous urography CT examination
It means that the bladder is filled with urine, and the amount of urine exceeds the normal bladder capacity. For some reason, the urine cannot be excreted. It can occur suddenly or suddenly on the basis of chronic dysuria. In urological patients, the latter is more common.
TCM syndrome differentiation: kidney yang deficiency, bladder gasification disorders.
Diagnosis
Differential diagnosis
Differential diagnosis of acute urinary retention:
1, dysuria and urinary retention: dysuria refers to the need to increase abdominal pressure when urinating to discharge, when the condition is serious, there is urine in the bladder and can not be discharged. Difficulties in urination can be divided into functional and obstructive categories.
2, poor urination: the main reason for poor urination is due to obstruction on the urinary tract, or the lack of contraction ability of the bladder.
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