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硝酸银治疗乳糜尿的一种罕见并发症。

An unusual complication of silver nitrate therapy for chyluria.

作者信息

Dhabalia Jayesh V, Nelivigi Girish G, Suryavanshi Manav, Kakkattil Shal, Singh Vikash Kumar

机构信息

Department of Urology, Seth GS Medical College and KEM Hospital, Mumbai, India.

出版信息

Indian J Urol. 2007 Apr;23(2):203-4. doi: 10.4103/0970-1591.32078.

DOI:10.4103/0970-1591.32078
PMID:19675804
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2721536/
Abstract

Chyluria is a common disorder in the tropics. In our country it is most commonly managed by instillation of silver nitrate. We report a patient who developed severe perinephric hematoma due to pseudoaneurysm of renal artery following silver nitrate instillation. He was managed by angioembolisation followed by drainage of infected perinephric hematoma. We discuss various modalities of treatment of chyluria including complications of silver nitrate therapy.

摘要

乳糜尿是热带地区的一种常见病症。在我国，其最常用的治疗方法是硝酸银灌注。我们报告了一例患者，在硝酸银灌注后因肾动脉假性动脉瘤形成了严重的肾周血肿。他接受了血管栓塞治疗，随后对感染性肾周血肿进行了引流。我们讨论了乳糜尿的各种治疗方式，包括硝酸银治疗的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2863/2721536/59f0ed1f27f2/IJU-23-203-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2863/2721536/a5fd14ceef3c/IJU-23-203-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2863/2721536/59f0ed1f27f2/IJU-23-203-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2863/2721536/a5fd14ceef3c/IJU-23-203-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2863/2721536/59f0ed1f27f2/IJU-23-203-g002.jpg

相似文献

1
An unusual complication of silver nitrate therapy for chyluria.硝酸银治疗乳糜尿的一种罕见并发症。
Indian J Urol. 2007 Apr;23(2):203-4. doi: 10.4103/0970-1591.32078.
2
Devastating complication of silver nitrate instillation for the treatment of chyluria.硝酸银灌注治疗乳糜尿的严重并发症。
BMJ Case Rep. 2013 Sep 26;2013:bcr2013201270. doi: 10.1136/bcr-2013-201270.
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Acute necrotizing ureteritis with obstructive uropathy following instillation of silver nitrate in chyluria: a case report.乳糜尿患者硝酸银灌注后并发急性坏死性输尿管炎伴梗阻性尿路病：一例报告
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Is povidone iodine an alternative to silver nitrate for renal pelvic instillation sclerotherapy in chyluria?聚维酮碘能否替代硝酸银用于乳糜尿肾盂灌注硬化治疗？
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引用本文的文献

1
Preliminary Study of a Single Instillation of Low-Concentration High-Volume Silver Nitrate Solution for Chyluria: Is >10 mL Instillation an Absolute Contraindication in the Real World?低浓度大容量硝酸银溶液单次灌注治疗乳糜尿的初步研究：在现实世界中，灌注量>10 mL是否绝对禁忌？
Trop Med Infect Dis. 2019 Oct 16;4(4):128. doi: 10.3390/tropicalmed4040128.
2
Are there any factors affecting the outcome of endoscopic sclerotherapy in filarial chyluria? A prospective study.是否存在影响丝虫性乳糜尿内镜下硬化治疗结果的因素？一项前瞻性研究。
Indian J Urol. 2017 Oct-Dec;33(4):294-299. doi: 10.4103/iju.IJU_77_17.
3
Chyluria in non-filarial endemic areas: an internist's perspective.

本文引用的文献

1
Can silver nitrate instillation for the treatment of chyluria be fatal?硝酸银灌注治疗乳糜尿会致命吗？
Br J Urol. 1998 Dec;82(6):926-7. doi: 10.1046/j.1464-410x.1998.00839.x.
2
Arterial haemorrhage following instillation of silver nitrate in chyluria: treatment by coil embolization.
Australas Radiol. 1998 Aug;42(3):234-5. doi: 10.1111/j.1440-1673.1998.tb00502.x.
3
[Argyrosis of the urinary tract after silver nitrate instillation: report of a case].
Hinyokika Kiyo. 1993 Jan;39(1):41-4.
非丝虫病流行地区的乳糜尿：内科医生的观点。
BMJ Case Rep. 2017 Oct 4;2017:bcr-2017-220772. doi: 10.1136/bcr-2017-220772.
4
Devastating complication of silver nitrate instillation for the treatment of chyluria.硝酸银灌注治疗乳糜尿的严重并发症。
BMJ Case Rep. 2013 Sep 26;2013:bcr2013201270. doi: 10.1136/bcr-2013-201270.