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目的 探讨老年上尿路结石梗阻致急性肾衰的急诊处理方法。方法 应用输尿管肾镜气压弹道碎石术治疗老年上尿路结石致急性肾衰 3 0例。结果 3 0例均急诊行输尿管镜气压弹道碎石术 ,其中 2例 2侧因入镜失败 ,行输尿管切开取石术。术后肾功能改善 ,血清肌酐下降。结论 输尿管肾镜气压弹道碎石术是急诊治疗老年人上尿路结石梗阻性急性肾衰较为理想的方法 ,具有高效、安全、微创、容易操作的特点
Objective To explore the emergency treatment of acute renal failure caused by upper urinary tract obstruction in the elderly. Methods The ureteroscopic pneumatic lithotripsy was used to treat 30 cases of acute renal failure caused by upper urinary tract calculi. Results All 30 patients underwent emergency ureteroscopic pneumatic lithotripsy, 2 of them 2 patients underwent ureteroscopic lithotripsy because of failed entry. Postoperative renal function improved, serum creatinine decreased. Conclusions Ureteroscopic pneumatic lithotripsy is an ideal method for emergency treatment of obstructive acute renal failure of the upper urinary tract in the elderly. It is characterized by high efficiency, safety, minimally invasive and easy operation