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例1,女,35岁。3个月前因“宫颈癌”行“全宫切除术”,术后行放射治疗。15天前出现发热,于外院静滴庆大霉素24万U/d。用药第4天出现少尿。外院B超检查双肾、输尿管未见异常。诊断:庆大霉素致ARF。即停庆大霉素,用利尿剂等治疗无效,4天后送我院行血液透析治疗,尿检查:相对密度1.016,蛋白定性(±),WBC(-),RBC(-);BUN32mmol/L,Scr1073umol/L。B超示:双肾轻度积液,双侧输尿管下段显示不清,膀胱不充盈。膀胱镜检查未见双侧输尿管开口。诊断:双侧输尿管梗阻致ARF。经右侧输尿管膀胱移植术治疗后,患者肾功能恢复出院。
Example 1, female, 35 years old. 3 months ago due to “cervical cancer” line “hysterectomy”, postoperative radiotherapy. 15 days ago, fever, intravenous infusion of gentamicin 240,000 U / d. Day 4 medication oliguria. Outside the hospital B ultrasound examination of the kidneys, ureter no exception. Diagnosis: Gentamicin-induced ARF. Namely stop gentamicin, with diuretics and other treatment is invalid, 4 days after delivery to our hospital hemodialysis treatment, urine examination: the relative density of 1.016, protein qualitative (±), WBC (-), RBC , Scr1073umol / L. B ultrasound showed: mild renal fluid, bilateral ureteral unclear, bladder is not full. Cystoscopy showed no bilateral ureteral openings. Diagnosis: Bilateral ureteral obstruction caused by ARF. After the right ureter bladder transplantation, patients with renal function recovered and discharged.