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慢性膀胱颈梗阻可导致双肾积水的肾衰,解除梗阻至少导致部分肾功能恢复,常伴有盐和水性利尿。作者报道55例慢性尿潴患者在膀胱减压后不管利尿与否,多数患者均有肾功能改善;很少出现水盐过度丢失,多数患者不需静脉补液;部分患者利尿期间出现体重下降、血压降低,但对肾功能恢复无副作用。仅3例血压明显下降需长期补钠。 55例患者平均年龄71岁(52～89岁),其中47例血浆肌酐升高,41例IVU证实上尿路扩张(其中包括
Chronic bladder neck obstruction can lead to renal failure of hydronephrosis, at least part of the renal function to relieve the obstruction, often accompanied by salt and aqueous diuretic. The authors reported 55 patients with chronic urinary retention after bladder decompression regardless of diuretic or not, most patients have improved renal function; rarely excessive loss of water and salt, most patients without intravenous rehydration; some patients with weight loss during diuretic, blood pressure Reduce, but no side effects on renal function recovery. Only 3 cases of blood pressure decreased need long-term sodium. The average age of 55 patients was 71 years (52-89 years), of whom 47 had elevated plasma creatinine and 41 had IVU confirmed upper urinary tract dilatation