Liguori Giovanni, Trombetta Carlo, Bucci Stefano, Salamè Leonardo, Savoldi Silvana, Belgrano Emanuele
Dept. of Urology and Nephrology, University of Trieste, Trieste, Italy.
Urol Res. 2004 Feb;32(1):25-7. doi: 10.1007/s00240-003-0369-3. Epub 2003 Oct 1.
Extracorporeal shock-wave lithotripsy (ESWL) is the treatment of choice for the majority of patients with renal or proximal ureteral stones. We describe an unusual case of anuric renal failure following ESWL, in absence of obstruction or myoglobinuria, in the presence of unilateral nephrolithiasis and two normally functioning kidneys. A mechanism for this patient's acute renal failure (ARF) is postulated. Although the frequency of ARF after ESWL is extremely rare and the mechanism responsible for ARF is not understood, the appearance of ARF, when ureteral obstruction or hematoma are absent, should be included among complications following EWSL. Attention should be paid to older patients.
体外冲击波碎石术（ESWL）是大多数肾或近端输尿管结石患者的首选治疗方法。我们描述了一例ESWL术后无尿性肾衰竭的罕见病例，该患者不存在梗阻或肌红蛋白尿，仅有单侧肾结石且双肾功能正常。本文推测了该患者急性肾衰竭（ARF）的发病机制。虽然ESWL术后ARF的发生率极低且其发病机制尚不清楚，但在无输尿管梗阻或血肿的情况下出现ARF，应被视为ESWL术后的并发症之一。对于老年患者应予以关注。
