| 孤立肾输尿管结石急性梗阻伴感染的诊治策略 |
| |
| 引用本文： | 周先明,疏仁义,郭荣利,董平. 孤立肾输尿管结石急性梗阻伴感染的诊治策略[J]. 蚌埠医学院学报, 2016, 41(6): 757-759. DOI: 10.13898/j.cnki.issn.1000-2200.2016.06.016 |
| |
| 作者姓名： | 周先明 疏仁义 郭荣利 董平 |
| |
| 作者单位： | 安徽省池州市人民医院 泌尿外科, 247000 |
| |
| 摘 要： | 目的:探讨孤立肾输尿管结石急性梗阻伴感染的诊治策略，提高诊治水平。方法:回顾分析2例孤立肾输尿管结石急性梗阻伴感染患者的诊治过程，总结并结合文献进行分析。结果:2例孤立肾患者均急诊行输尿管镜钬激光碎石术；例1结石最大直径0.7 cm，感染严重，术后出现败血症、感染性休克、急性肾功能衰竭，入ICU抗感染、血液净化等对症治疗，后痊愈出院；例2结石最大直径0.5 cm，手术顺利，术后给予抗感染、补液等对症处理，恢复良好，痊愈出院。结论:孤立肾输尿管结石急性梗阻伴感染病情进展快，肾功能损害重，应采用个体化治疗，尽早解除梗阻，最大限度保护肾功能。
|
| 关 键 词： | 输尿管结石 急性梗阻 感染 孤立肾 |
| 收稿时间： | 2014-12-17 |
Treatment of the acute obstruction of ureteral calculus complicated with infection in patient with solitary kidney |
| |
| ZHOU Xian-ming,SHU Ren-yi,GUO Rong-li,DONG Ping. Treatment of the acute obstruction of ureteral calculus complicated with infection in patient with solitary kidney[J]. Journal of Bengbu Medical College, 2016, 41(6): 757-759. DOI: 10.13898/j.cnki.issn.1000-2200.2016.06.016 |
| |
| Authors: | ZHOU Xian-ming SHU Ren-yi GUO Rong-li DONG Ping |
| |
| Affiliation: | Department of Urology, The People's Hospital of Chizhou, Chizhou Anhui 247000, China |
| |
| Abstract: | Objective: To explore the diagnosis and treatment strategy of the acute obstruction of ureteral calculus complicated with infection in patients with solitary kidney for improving the diagnosis and treatment level.Methods: The treatment processes of the acute obstruction of ureteral calculus complicated with infection in two patients with solitary kidney were retrospectively analyzed,and the relevant literatures were reviewed.Results: Two patients with solitary kidney were treated with Holmium laser lithotripsy in emergency.One case with 0.7 cm calculus,postoperative sepsis,infectious shock and acute renal failure was treated with anti-infection and blood purification,and the patient cured.One case with 0.5 cm calculus and successful operation was treated with anti-infection and rehydration,and the patient recovered.Conclusions: The progression of ureteral calculus complicated with infection in patient with solitary kidney is fast and severe renal impairment.The individualized treatment should be used,the ureteral obstruction should be early relieved,and the renal function should be maximum protected. |
| |
| Keywords: | ureteral stone acute obstruction infection solitary kidney |
| 本文献已被 万方数据 等数据库收录！ |
| 点击此处可从《蚌埠医学院学报》浏览原始摘要信息 |
|
点击此处可从《蚌埠医学院学报》下载免费的PDF全文 |
|
