急诊处理肾后性急性肾功能衰竭112例  

The emergency treatment of postrenal acute renal failure 112 cases

作　　者：许达开[1] 洪伟平[2] 

机构地区：[1]广东省化州市妇幼保健院,广东化州525100 [2]广东医学院附属医院,广东湛江524001

出　　处：《海南医学》2006年第11期10-11,共2页Hainan Medical Journal

摘　　要：目的评价和总结肾后性急性肾功能衰竭的临床经验和教训。方法对1984年1月～2004年1月收治的112例肾后性急性肾功能衰竭患者的急诊处理方法进行回顾性分析。结果开放性手术93例(82.00%),输尿管肾镜处理(URS)6例,输尿管逆行插管引流8例,保留尿管引流4例,单纯血液透析1例。37例手术前血液透析,15例术后血液透析。本组106例治愈(94.60%),死亡6例(5.40%)。结论推荐术前血液透析作为肾后性急性肾功能衰竭急诊处理的首选方法。早期诊断、及时治疗和解除泌尿系统梗阻非常重要。Objective To evaluate and present the experiences and lessons of emergency management for the postrenal acate renal failure. Methods Form Jan.1984 to Jan 2004,clinical data of 112 cases of patient with postrenal acute renal failure was reviewed retrospectively. Results 93 cases were treated by emergent open operation（83%）, 6 cases were treated by ureterorenscopy（URS）, 8 cases by dwelling ureteral stent retrogradely, 4 cases were drainaged by indwelling catheter, 1 cases was treated by hemodialysis. 37 cases were treated with hemodialysis before operation, 15 cases were treated with hemodialysis after operation. 106 have been cured （94.6%） in all the 112 patients while the other 6 finally died（5.4%）. Conclusions hemodialysis is recommended as the first choice of emergent treatment for patients with postrenal acute renal failure before operation, Early diagnosis, prompt treatment and remove obstruction of urological department are essential.

关 键 词：肾功能衰竭 梗阻 急性处理 

分 类 号：R692.5[医药卫生—泌尿科学]