双侧结石致急诊科急性肾衰竭。
Bilateral stones as a cause of acute renal failure in the emergency department.
机构信息
Department of Emergency and Critical care Medicine, Hospital Valle de los Pedroches, Pozoblanco, Córdoba, Spain.
Department of Radiology, Hospital Valle de los Pedroches, Pozoblanco, Córdoba, Spain.
出版信息
World J Emerg Med. 2014;5(1):67-71. doi: 10.5847/wjem.j.issn.1920-8642.2014.01.012.
Abstract
BACKGROUND
Acute renal failure (ARF) due to obstructive uropathy is a urological emergency. The standard radiological investigations in the emergency setting include X-ray, ultrasonography and computed tomography. But occasionally the cause of obstruction may be elusive.
METHODS
We present a case of obstructive uropathy due to bilateral stones presenting as acute renal failure. The patient underwent successful shock wave lithotripsy (SWL) for dissolution of calculi.
RESULTS
The patient was successfully treated, and reported asymptomatic in a follow-up.
CONCLUSION
Close collaboration between nephrological, urological, and radiological services is required.
摘要
背景
梗阻性尿路病导致的急性肾衰竭是一种泌尿科急症。在急诊环境中，标准的放射学检查包括 X 射线、超声检查和计算机断层扫描。但有时梗阻的原因可能难以确定。
方法
我们报告了一例双侧结石导致的梗阻性尿路病并急性肾衰竭的病例。该患者成功接受了体外冲击波碎石术（SWL）以溶解结石。
结果
患者成功得到治疗，在随访中无症状报告。
结论
需要肾脏病学、泌尿科和放射科之间的密切协作。
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