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反对将肠段纳入封闭泌尿系统的一个案例。

A case against incorporation of bowel segments into the closed urinary system.

作者信息

Tanagho E A

出版信息

J Urol. 1975 Jun;113(6):796-802. doi: 10.1016/s0022-5347(17)59582-8.

DOI:10.1016/s0022-5347(17)59582-8
PMID:1152153
Abstract

Five patients in whom isolated ileal or ileocecal segments had been incorporated into the urinary tract suffered complications that ended in excision of the bowel segment. A bowel segment functions if it does not meet resistance or increased intraluminal pressures. In a closed system these 2 evils are working constantly against the loop of bowel, subjecting it to growing distension, dilatation and redundancy and, inevitably, residual urine, urinary tract infection, stone formation, electrolyte imbalance and progressive deterioration of the upper urinary tract ensue. What was initially meant to save kidney function causes instead renal damage and eventually total loss of function.

摘要

5例将孤立的回肠或回盲肠段纳入尿路的患者出现了并发症,最终切除了肠段。如果肠段没有遇到阻力或管腔内压力增加,它就能发挥功能。在一个封闭系统中,这两种不利因素持续作用于肠袢,使其不断扩张、膨胀和冗长,不可避免地会出现残余尿、尿路感染、结石形成、电解质失衡,进而导致上尿路进行性恶化。最初旨在挽救肾功能的做法,反而导致了肾损伤,最终功能完全丧失。

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