Congenital solitary kidney with staghorn calculi in Integrative Medicine.docVIP

 PAGE \* MERGEFORMAT 6 Congenital solitary kidney with staghorn calculi in Integrative Medicine Of: Chen Hui, Wang Chaoguo, Yanghong Shu, Xu New [Keywords:] congenital solitary kidney staghorn calculi Integrative Medicine A medical record Patients, male, 50 years old. Usually abled. No obvious incentive for the left waist dull sense of sudden, paroxysmal intensification of radiation to the left lower abdomen, with nausea and vomiting, the stomach contents, sweat, there are frequent urination , urgency, dysuria, urine color pink, urine output less. 3h after the onset of the emergency, check: mind clear, lack of energy, pain, appearance, moaning, body cold, the symptoms were prostration. T 36.9 , R 20 times / min, P 96 times / min, BP 128/80mmHg. head Luwu Guan (-), cardiopulmonary (-), the abdomen liver and spleen (-), left kidney area has percussion pain. blood to normal. urine showed: pH 6.5, RBC (+++), protein (+), crystalline (+), glucose negative. urological B-show: See the upper left kidney group irregular light, audio and video about the size of 25mm 15mm, no renal sinus separation, no significant expansion of the left ureter and stenosis, no significant light bladder ultrasonography group. right renal agenesis. X ray KUB showed: the left kidney shows a staghorn area was overwhelmed by the size of high density of about 2.5cm 1.5cm . Clinical diagnosis: Left kidney; right renal agenesis. General treatment: infusion, antispasmodic, analgesic, sedative, diuretic, hemostatic, and application of antibiotics to prevent infection, drink lots of water, adjust pH, adjust their diets to limit high calcium, high phosphorus, high salt, high acid, high animal fat, high protein, high sugar and high-purine diet. and make the relevant laboratory tests, especially liver and kidney function and electrolyte determination. Biochemical tests: fasting serum calcium 10.6mmol / L. special treatment: (1) extracorporeal shock wave lithotripsy (ESWL). (2) after