Sheldon C A, Gonzalez R, Mauer S M, Fraley E E
Urology. 1980 Nov;16(5):457-63. doi: 10.1016/0090-4295(80)90594-4.
Two infants who had obstructive uropathy accompanied by renal failure and sepsis are reported herein. Diagnostic and therapeutic techniques used to treat this type of surgical emergency are discussed in the order they were performed, as follows: (1) resuscitation for severe fluid and electrolyte disturbances; (2) gathering of cultures and initiation of antibiotic therapy; (3) the decision of whether or not dialysis is required, as well as when and how diagnostic evaluation should proceed; (4) the decision of whether dialysis is necessary or whether correction of obstructive uropathy can begin; and (5) the choice of the best operative procedure for this individual. This article emphasizes the necessity for a multidisciplinary team approach to these patients.
本文报告了两名患有梗阻性尿路病并伴有肾衰竭和败血症的婴儿。按照实施顺序讨论了用于治疗此类外科急症的诊断和治疗技术，具体如下：(1) 针对严重的液体和电解质紊乱进行复苏；(2) 采集培养样本并开始抗生素治疗；(3) 决定是否需要透析，以及何时和如何进行诊断评估；(4) 决定是否需要透析或是否可以开始纠正梗阻性尿路病；(5) 为该个体选择最佳的手术方法。本文强调对这些患者采用多学科团队方法的必要性。
