The surgical emergency treatments and cura-tive effects of postrenal acute renal failure following obstruction due to upper urinary calculi in infants were evaluated.Of the 13 infants with postrenal acute renal failur...The surgical emergency treatments and cura-tive effects of postrenal acute renal failure following obstruction due to upper urinary calculi in infants were evaluated.Of the 13 infants with postrenal acute renal failure following obstruction due to upper urinary calculi,11 received retrograded catheterizations of the ureter with semi-rigid ureteroscopy(F 6.8),and two received open ureterolithotomy.The results showed that only one infant had anuresis and continuous reduction of hemoglobin 5 h after the open ureterolithotomy and received exploration via excision and peritoneal dialysis,and the remaining 12 patients well recovered in this group.The renal function of all the patients was restored without postoperative complications.It is concluded that the retrograded catheterization of the ureter with ureteroscopy is a minimally invasive,safe and effective therapy for postrenal acute renal failure following obstruction due to upper urinary calculi in infants.For those infants whose urethras are thin and small,the open ureterolithotomy is a suitable method.But patients with bleeding tendency need to be corrected prior to the open ureterotomy to remove obstructions.展开更多
In February 2018,a 2-year-old American shorthair was treated conservatively for cystitis caused by crystalluria.However,as long as drug withdrawal was proceeding,the condition would be repeated,and the condition worse...In February 2018,a 2-year-old American shorthair was treated conservatively for cystitis caused by crystalluria.However,as long as drug withdrawal was proceeding,the condition would be repeated,and the condition worsened since August.In order to diagnose and treat the sick cat,clinical examination,laboratory examination,X-ray,B-type ultrasound and other methods were used for diagnosis,and treatment was conducted according to the diagnosis results.The results showed that the cat was caused by ammoniomagnesium phosphate crystals blocking urethra,complicated with postrenal azotaemia and hyperkalemia.The relapse continued after conservative treatment,and the cat finally recovered by modifying urethra surgically.The results showed that the deficiency of drinking water,the change of urine pH,and high dietary magnesium and fiber content could promote the occurrence of the disease.For the problem of urethral obstruction that could not be solved by conservative treatment,operation was done to modify urethral stricture.展开更多
基金supported by grants from Hubei Key Projects of Science and Technology(No.2007AA301B45)Young Researcher Grant of Hubei Health Bureau(No.QJX2008-44)Scientific Research Programs on Clinic Medicine of Wuhan Health Bureau(No.WX08B06).
文摘The surgical emergency treatments and cura-tive effects of postrenal acute renal failure following obstruction due to upper urinary calculi in infants were evaluated.Of the 13 infants with postrenal acute renal failure following obstruction due to upper urinary calculi,11 received retrograded catheterizations of the ureter with semi-rigid ureteroscopy(F 6.8),and two received open ureterolithotomy.The results showed that only one infant had anuresis and continuous reduction of hemoglobin 5 h after the open ureterolithotomy and received exploration via excision and peritoneal dialysis,and the remaining 12 patients well recovered in this group.The renal function of all the patients was restored without postoperative complications.It is concluded that the retrograded catheterization of the ureter with ureteroscopy is a minimally invasive,safe and effective therapy for postrenal acute renal failure following obstruction due to upper urinary calculi in infants.For those infants whose urethras are thin and small,the open ureterolithotomy is a suitable method.But patients with bleeding tendency need to be corrected prior to the open ureterotomy to remove obstructions.
基金Supported by Demonstration Project of Grassroots Teaching and Research Office of Anhui Province"Grassroots Teaching and Research Office of Animal Epidemic Prevention and Quarantine"(2018jyssf038)Demonstration Project of Massive Open Online Courses of Anhui Province"Veterinary Clinical Diagnosis Technology"(2019 mooc431).
文摘In February 2018,a 2-year-old American shorthair was treated conservatively for cystitis caused by crystalluria.However,as long as drug withdrawal was proceeding,the condition would be repeated,and the condition worsened since August.In order to diagnose and treat the sick cat,clinical examination,laboratory examination,X-ray,B-type ultrasound and other methods were used for diagnosis,and treatment was conducted according to the diagnosis results.The results showed that the cat was caused by ammoniomagnesium phosphate crystals blocking urethra,complicated with postrenal azotaemia and hyperkalemia.The relapse continued after conservative treatment,and the cat finally recovered by modifying urethra surgically.The results showed that the deficiency of drinking water,the change of urine pH,and high dietary magnesium and fiber content could promote the occurrence of the disease.For the problem of urethral obstruction that could not be solved by conservative treatment,operation was done to modify urethral stricture.
