反射性无尿：急性肾损伤的罕见原因。
Reflex anuria: a rare cause of acute kidney injury.
作者信息
Adediran Samuel, Dhakarwal Pradeep
机构信息
Department of Internal Medicine, Lehigh Valley Health Network, Allentown, PA, USA.
Department of Nephrology, Lehigh Valley Health Network, Allentown, PA, USA.
出版信息
J Community Hosp Intern Med Perspect. 2014 Apr 14;4(2). doi: 10.3402/jchimp.v4.23423. eCollection 2014.
BACKGROUND
Acute Kidney Injury results from pre renal, post renal or intrinsic renal causes. Reflex anuria is a very rare cause of renal impairment which happens due to irritation or trauma to one kidney or ureter, or severely painful stimuli to other nearby organs.
CASE PRESENTATION
Here we present a case of acute kidney injury secondary to reflex anuria in a patient who underwent extensive gynecological surgery along with ureteral manipulation which recovered spontaneously.
CONCLUSION
Reflex Anuria is a rare and often not considered as cause of acute kidney injury. This case illustrates that this should be kept as a differential in potential cause of acute kidney injury in patient undergoing urogenital or gynecological surgeries.
背景
急性肾损伤由肾前性、肾后性或肾内性原因引起。反射性无尿是一种非常罕见的肾功能损害原因，它是由于一侧肾脏或输尿管受到刺激或创伤，或附近其他器官受到严重疼痛刺激所致。
病例报告
在此，我们报告一例在接受广泛妇科手术及输尿管操作后继发反射性无尿的急性肾损伤病例，该患者随后自发康复。
结论
反射性无尿是一种罕见且常不被视为急性肾损伤原因的情况。该病例表明，对于接受泌尿生殖系统或妇科手术的患者，在考虑急性肾损伤的潜在原因时应将其列为鉴别诊断之一。
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