急性上尿路梗阻无尿合并严重感染的临床治疗.pdfVIP

国际医药卫生导报2014 年第20 卷第20 期 IMHGN , October 2014 , Vol.20 No.20 急性上尿路梗阻元尿合并严重感染的 临床治疗 黄子荣杨志坚刘肇华吴炳权陈敏坚庞程 [摘要] 目的 总结上尿路急性梗阻无尿合并严重感染的临床治疗经验。方法 回顾分析26 例上尿路急性梗阻无尿合并严重感染治疗的临床资料。结果 25 例患者经综合治后，病情逐渐稳定， 全身情况改善。尿量恢复，血清肌酣和尿素氮进行性下降，血白细胞和中性细胞分类恢复正常，住 院 12 - 23 d 出院。 1 例出现多器官功能衰竭，死亡。结论 有效控制感染、改善身体状况和及时 解除梗阻是有效治疗上尿路急性梗阻无尿合并严重感染疾病的有效措施。 [关键词】 上尿路;急性梗阻;肾功能衰竭;严重感染 Clinical trea恤ent for acute up严r urinary tract obstruction wihout urine complicated 明白 serious infection HuangZiro.晖; YangZh~卢缸， Liu Zhaohua, Wu Bingquan , Chen Minjian , Pang Cheng. Department of Urology, First People s Hospital ofZhaoqiT1多 Zhaoqing 526040, China 【抽stract 】 Objective To study the clinical treatment for acute 叩per urinary tract obstruction wihout urine complicated with serious infection. Methods The clinical data of 26 patients with acute upper urinary tract obstruction wihout urine complicated with serious infection were retrospectively analyzed. Results After the comprehensive treatment , 25 patients conditions got stable and improved , their urine was recovered , their serum creatinine and urea nitrogen were decreased , their white blood cells and neutrophil retumed to normal , and they discharged after 12 - 23 d hopitalization. 1 case had multiple organ failure and died. Conclusions Effectively controlling infection, improving the condition , and removing the obstruction in time are effective methods to treat acute upper urinary tract obstruction wihout urine complicated with serious infection. Key word ] Upper urinary tract; Acute obstruction; Renal failure; Serious infection 急性上尿路梗阻是泌尿外科的常见急症，但 平均 872μ 血。l/L，血 BUN 20.5 - 46.3 mmollL , 由于梗阻出现多合并有泌尿系感染，而且感染进 平均 31.3 mmo旺，尿量 2 - 20 m 1l24 h ，无尿时 展快，往往病情严重。及时正确的处理是挽救病 间 12 h - 6 d; 肾周积液 12 例，合并糖尿病 12 例， 人生命和影响疾病预后的关键。我院2∞8 年 1 月