小儿上尿路结石梗阻致急性肾衰的手术治疗  

Acute Renal Failure Caused by upper Urinary Lithiasis Obstruction in Children

作　　者：关汉礼[1] 王英[1] 地为夏提 米吉提沙克[1] 艾尔肯 毛苏木 

机构地区：[1]新疆喀什地区第一人民医院小儿外科,844000

出　　处：《中华小儿外科杂志》1999年第3期150-152,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的探讨小儿上尿路结石梗阻造成急性肾衰的病理生理。分析手术治疗的临床疗效。方法先行利尿合剂冲击疗法或经皮肾穿刺置管引流，改善垂危状况后手术取石解除梗阻。结果对７４例患儿的６２个队１９根输尿管、３个膀胱切开取石。６７例获痊愈、７例死亡。结论应用于成人的手术方法也同样适用于小儿。手术解除一侧梗阻即可逆转全身情况，对侧择期手术肾功能并未发现代偿性减退或丧失。Objective To review the efficacy of operative treatment for acute renal failure resultedfrom Obstruction of upper urinary lithiasis. Method Seventy-four cases (male 51, female 23) Of acute renal failure caused by upper urinary lithiasis were admitted from 1985 to 1997. The age ranged from 4months to 11 years (mean 2 yrs and 10 mons). Prompt drainge by insertion of percutaneous nephrostomytube and lotus therapy with diuretic mixture were indicated until the clinical situation of renal failure improved' Results Among the 74 patients (kidney 62, ureter 19, bladder 3), who underwent surgical re- moval of the lithiasis, 67 survived and 7 died. Conclusions The operative management of adults with urinary lithiasis is also fit for children. When patients With bilateral lesions, the general situation will be reveal by unilateral releasing from the Obstruction. The function of the contralateral kidney after an Selective operation is still kept well.

关 键 词：上尿路结石 急性 肾功能衰竭 外科手术 儿童 

分 类 号：R726.925[医药卫生—儿科]