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肾后性急性肾功能衰竭
引用本文:孙浩,秦剑影,马克钧,蒋国波,潘鹏,周兴明.肾后性急性肾功能衰竭[J].江苏大学学报(医学版),2001,11(2):180-181.
作者姓名:孙浩  秦剑影  马克钧  蒋国波  潘鹏  周兴明
作者单位:镇江医学院附属医院泌尿外科,江苏,镇江,212001
摘    要:目的提高肾后性急性肾功能衰竭的诊治效果.方法对23例肾后性急性肾功能衰竭的诊治进行回顾性总结.结果突然无尿是所有病例共同的症状,伴肾绞痛19例、恶心呕吐17例.一侧肾切除史9例,孤立肾3例,一侧肾巨大积水6例,先天性肾发育不全1例,影像学检查示上尿路结石20例,血块、输尿管开口处肿瘤和后腹膜转移性肿瘤各1例.结论B超、KUB平片、逆行尿路造影和MRU是明确诊断的主要手段,治疗方法取决于梗阻的病因、持续时间和病情严重程度,最关键的是尿液引流.

关 键 词:急性肾功能衰竭  尿路梗阻
文章编号:1006-7655(2001)02-180-02
修稿时间:2001年1月11日

Post-renal Acute Renal Failure
SUN Hao,QIN Gian ying,MA Ke jun,et al.Post-renal Acute Renal Failure[J].Journal of Jiangsu University Medicine Edition,2001,11(2):180-181.
Authors:SUN Hao  QIN Gian ying  MA Ke jun  
Abstract:Objective:To improve the diagnosis and treatment of post renal acute renal failure. Methods:23 cases of post renal acute renal failure were reviewed. Results:Acute anuria is the commonest symptom in all cases, accompenied with renal colic in 19 cases, nausea and vomiting in 17 cases. There are 20 cases of upper urinary stones, 1 clot, 1 tumor at ureteral orifice and 1 retroperitoneal malignancy resulting in post renal obstruction on image. Conclusion:Ultrasonography,KUB, retrograde urography and MRU are extremely helpful. The treatment is dependent on the causes, the duration and the severity of obstruction. It is the most important to drain urine.
Keywords:Acute Renal Failure  Urinay Obstruction
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