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目的探讨上尿路结石致急性肾功能衰竭的处理方法。方法分析40例上尿路结石致急性肾功能衰竭患者的临床资料,根据不同病情分别行膀胱镜逆行插管、输尿管镜下碎石、开放取石、肾造瘘和血液透析处理。结果全部患者术后血尿素氮、肌酐进行性下降。肾功能恢复正常30例,肾功能处于代偿期7例,尿毒症3例。结论上尿路结石致急性肾功能衰竭,应尽快明确诊断,尽早采取适当方法解除梗阻,阻止肾功能进一步损害,从而获得良好的效果。
Objective To investigate the treatment of acute renal failure caused by upper urinary tract calculi. Methods The clinical data of 40 patients with acute renal failure caused by upper urinary calculi were analyzed. According to the different conditions, retrograde cystoscopy, ureteroscopic lithotripsy, open lithotomy, nephrostomy and hemodialysis were performed respectively. Results All patients postoperative blood urea nitrogen, creatinine decreased. Renal function returned to normal in 30 cases, renal function in compensatory period in 7 cases, 3 cases of uremia. Conclusion Upper urinary tract calculi caused by acute renal failure should be diagnosed as soon as possible, as soon as possible to take appropriate measures to relieve obstruction, to prevent further damage to renal function, so as to obtain good results.