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肾造瘘管置入及经皮肾镜取石术后短暂性尿胸:一例报告

Transient Urinothorax Following Nephrostomy Tube Placement and Percutaneous Nephrolithotomy: A Case Report.

作者信息

Zhang Zhaoqian, Li Xiao, Yang Mei

机构信息

Internal Medicine, St. Luke's Hospital, Chesterfield, USA.

出版信息

Cureus. 2024 Jul 15;16(7):e64607. doi: 10.7759/cureus.64607. eCollection 2024 Jul.

Abstract

Urinothorax is a rare complication of urological procedures. This report presents a case of a patient who developed urinothorax following nephrostomy tube placement and percutaneous nephrolithotomy (PCNL). The patient was managed conservatively with chest tube and Foley catheter placement, without the need for surgery. Computed tomography (CT) and chest tube output indicated that the urinothorax occurred immediately after nephrostomy tube placement but resolved within a couple of days without further intervention. Unlike some other cases that required surgical intervention due to persistent urine leakage, this case underscores the importance of prompt identification and tailored management of this rare condition based on clinical judgment.

摘要

尿胸是泌尿外科手术罕见的并发症。本报告介绍了一例患者,该患者在放置肾造瘘管和经皮肾镜取石术(PCNL)后发生了尿胸。患者通过放置胸管和留置导尿管进行保守治疗,无需手术。计算机断层扫描(CT)和胸管引流情况表明,尿胸在肾造瘘管放置后立即出现,但在几天内自行缓解,无需进一步干预。与其他一些因持续性尿液渗漏而需要手术干预的病例不同,该病例强调了基于临床判断及时识别和针对性处理这种罕见病症的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebd9/11326453/983415d7716d/cureus-0016-00000064607-i01.jpg

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