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双侧上尿路结石合并慢性梗阻性尿毒症,如处理不当可使肾功能衰竭而死亡。我院从1980～1985年共收治7例,2例死亡,5例存活。现介绍如下。临床资料七例中男5例,女2例,年龄最小31岁,最大58岁,平均38岁。例2,例3双肾结石,例4右肾结石左肾无功能,其余4例一侧输尿管结石另一侧肾结石。入院后均给予补液和支持疗法,待病人能耐受手术时,及时行取石术。两次手术间隔为3～4周。存活的5例体力恢复较好。病人一般情况与手术效果见附表。
Bilateral upper urinary tract stones with chronic obstructive uremia, such as improper handling can make renal failure and death. 7 cases were treated in our hospital from 1980 to 1985, 2 died and 5 survived. Now introduced as follows. Seven cases of clinical data in 5 males and 2 females, the youngest 31 years old, maximum 58 years old, average 38 years old. Cases 2, 3 cases of double kidney stones, cases of right kidney 4 cases no left kidney function, the other 4 cases of ureteral calculi on the other side of the kidney stones. After admission are given rehydration and supportive therapy, when patients can tolerate surgery, timely lithotomy. The two surgical interval of 3 to 4 weeks. Survival in 5 cases better physical recovery. The general situation of patients and surgical results see Schedule.