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上尿路结石引起的梗阻性少尿、无尿的诊断与处理

MANAGEMENT OF OLIGURIA OR ANURIA CAUSED BY UPPER URINARY TRACT OBSTRUCTION DUE TO CALCULI
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摘要 因上尿路结石引起的梗阻性少尿和无尿136例。其主要原因是双侧上尿路结石或独肾、功能性独肾合并结石。根据临床表现、KUB、B超及逆行肾盂造影可对其作出诊断。其治疗原则是尽早解除梗阻、引流尿液,最大限度地挽救肾功能。双侧结石梗阻者应争取同时施行双侧取石术,分期手术只适应于一般情况较差的双侧复杂肾结石患者,当一侧施行手术后,应尽早对侧取石手术.对于病情危重、不能耐受手术者,可先行透析疗法,待一般情况好转后再行手术治疗。 A retrospective study was made on 135 cases of oliguria or anuria caused by upper urinary tract obstruction dueto calcali. The diagnosis was confirmed by histroy ,KUB. ultrasound and retrograde pyelogrphy .Emergency operation was usually needed. Pahents with chronic bilateral obstruction with very poor renal function may need preoperative mangement such as hemodialysis until condition of the patient gets improved to permit an open operation.
出处 《广东医学》 CAS CSCD 1997年第10期662-663,共2页 Guangdong Medical Journal
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