Oon S, Mulvin D, Mealy K
Wexford General Hospital, Co Wexford.
Ir Med J. 2009 Jul-Aug;102(7):215-7.
No official guidelines exist on managing ureteric colic in small hospitals without urological support. We reviewed the logistics of managing this condition by examining all cases of ureteric colic over two years. Seventy nine of 118 cases had hydronephrosis; a criteria for urology referral. Thirty nine patients passed their stone spontaneously but 40 of these cases could not and required transfer. Twenty two (55%) patients were transferred (mean time to transfer: 3.29 days). The other 18 (45%) were discharged to await a urology outpatients clinic (mean time to discharge: 3.00 days). Patients that passed their stone spontaneously generally had stones under 5mm (mean stay: 2.09 days). We would recommend that patients with stones over 5mm or with hydronephrosis be referred immediately to prevent urological sepsis and or renal impairment.
在没有泌尿外科支持的小型医院中，目前尚无关于输尿管绞痛管理的官方指南。我们通过检查两年内所有输尿管绞痛病例，回顾了管理这种病症的相关事宜。118例病例中有79例存在肾积水，这是泌尿外科转诊的一项标准。39例患者结石自行排出，但其中40例无法自行排出，需要转诊。22例（55%）患者被转诊（平均转诊时间：3.29天）。另外18例（45%）患者出院，等待泌尿外科门诊（平均出院时间：3.00天）。结石自行排出的患者通常结石小于5毫米（平均住院时间：2.09天）。我们建议，结石大于5毫米或有肾积水的患者应立即转诊，以预防泌尿系统感染和/或肾功能损害。
