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肾后性梗阻性无尿,若不及时诊断和处理,常可延误治疗.报告二例如下.例1 男,54岁.因无尿4天由外院诊断为急性肾衰要求转我科作透析治疗.患者5年前有反复发作的左腰痛伴肉眼血尿,4天前突然右侧阵发性腹痛,继之无尿.查体:BP140/100mmHg,颜面浮肿,心肺(一),肝脾触及不满意.化验:BUN105mg%以上,Cr14.4mg%,Tco_217.9mmol/L,K4.9mM/L,Na136mM/L,Hgb12g%.肾脏B型超声检查:双肾积水.KUB平片显示双输尿管下段阳性结石.
Renal obstructive anuria, if not diagnosed and treated, can often delay treatment .Two cases are as follows .An example 1 male, 54 years old due to anuria 4 days from the outpatient diagnosis of acute renal failure requires transfer to our department for dialysis Treatment of patients with recurrent left lower back pain 5 years ago with gross hematuria, sudden right side of the paroxysmal abdominal pain 4 days ago, followed by anuria. Physical examination: BP140 / 100mmHg, facial edema, cardiopulmonary (a), liver and spleen touch Not satisfied with the test: BUN105mg% or more, Cr14.4mg%, Tco_217.9mmol / L, K4.9mM / L, Na136mM / L, Hgb12g%. Kidney B-mode ultrasound: Lower positive stones.