肾后性急性肾功能衰竭  

Post-renal Acute Renal Failure

作　　者：孙浩[1] 秦剑影[1] 马克钧[1] 蒋国波[1] 潘鹏[1] 周兴明[1] 

机构地区：[1]镇江医学院附属医院泌尿外科,江苏镇江212001

出　　处：《镇江医学院学报》2001年第2期180-181,共2页Journal of Zhenjiang Medical College

摘　　要：目的 :提高肾后性急性肾功能衰竭的诊治效果。方法 :对 2 3例肾后性急性肾功能衰竭的诊治进行回顾性总结。结果 :突然无尿是所有病例共同的症状 ,伴肾绞痛 19例、恶心呕吐 17例。一侧肾切除史 9例 ,孤立肾 3例 ,一侧肾巨大积水 6例 ,先天性肾发育不全 1例 ,影像学检查示上尿路结石 2 0例 ,血块、输尿管开口处肿瘤和后腹膜转移性肿瘤各 1例。结论 :B超、KUB平片、逆行尿路造影和MRU是明确诊断的主要手段 ,治疗方法取决于梗阻的病因、持续时间和病情严重程度 。Objective:To improve the diagnosis and treatment of post renal acute renal failure. Methods:23 cases of post renal acute renal failure were reviewed. Results:Acute anuria is the commonest symptom in all cases, accompenied with renal colic in 19 cases, nausea and vomiting in 17 cases. There are 20 cases of upper urinary stones, 1 clot, 1 tumor at ureteral orifice and 1 retroperitoneal malignancy resulting in post renal obstruction on image. Conclusion:Ultrasonography,KUB, retrograde urography and MRU are extremely helpful. The treatment is dependent on the causes, the duration and the severity of obstruction. It is the most important to drain urine.

关 键 词：急性肾功能衰竭 尿路梗阻 诊断 治疗 

分 类 号：R692.5[医药卫生—泌尿科学]