妊娠期合并肾绞痛的急诊诊断及治疗  

Emergency Diagnosis and Treatment of Pregnancy with Renal Colic

作　　者：何刚[1] 王新宇[1] 侯继家[1] 刘建文[1] 吴琴[1] 周瑞[1] 李慧宝[1] 

机构地区：[1]解放军第322医院泌尿外科,山西省大同市037006

出　　处：《中华全科医学》2010年第6期707-708,共2页Chinese Journal of General Practice

摘　　要：目的探索妊娠期合并肾绞痛的原因和早期治疗方案。方法 23例妊娠期合并肾绞痛患者中,所有患者均急诊行血常规、尿常规、尿培养、肾功能、电解质检查,并均行泌尿系多普乐彩色超声检查,23例均采取保守治疗。结果 22例患者在保守治疗后肾绞痛均能得到缓解,并安全渡过妊娠期至分娩。1例中止妊娠。结论妊娠期合并肾绞痛是非产科因素引起腹痛较为常见的原因,是泌尿外科的急症,处理不当会引起严重的后果。诊疗期间不仅要观测孕妇及胎儿情况,还要密切注意孕妇的水、电解质平衡情况及体能消耗情况,注重检查的快速、安全、无创,治疗以保守治疗为主,以抗炎、解痉、止痛为基本处理原则,必要时加用镇静药物,根据患者的实验室检查及体能消耗情况,结合妊娠时间,给予适当的支持治疗。诊疗期间要特别注意患者及家属的心理变化,做好与患者及家属的沟通是十分必要的。Objective To explore the cause and early treatment of pregnancy with renal colic. Methods 23 cases of pregnancy with renal colic were performed the examination of routine urine and kidney function, electrolytes, urine culture and urinary color ultrasonic. 23 cases were adopted conservative treatment. Results 22 patients with renal colic relieved by conservative therapy, and deliveried through gestation safely, one cases of pregnancy was paused. Conclusion Pregnancy with renal colic was relative- ly common cause of abdominal pain, and was one of the uropoiesis surgical emergency. Serious consequences can be made by im- proper handling. Close attention should be paid to the pregnant women and the fetus. Water, electrolyte balance and energy con- sumption should also be observed. Check should be performed rapidly, safely, and noninvasively. Treatment was focused on conservative therapy,with anti-inflammatory, acetanilide spasmolysis, and sedative drugs. According to the patient＇s laboratory and physical consumption, appropriate support treatment was needed. During the treatment period, special attention should be paid to psychological changes from the patient and family, the related communication was very necessary.

关 键 词：妊娠 肾绞痛 诊断 治疗 心理 

分 类 号：R692[医药卫生—泌尿科学] R714.1[医药卫生—外科学]