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妊娠后半期患者与同位素肾造影的相关性位置(作者译)

[Position of patient-relevance to isotope nephrography in second half of pregnancy (author's transl)].

作者信息

Jiratko K, Baran P, Skrobal V

出版信息

Zentralbl Gynakol. 1980;102(18):1045-51.

PMID:7467944
Abstract

Diagnostic isotope nephrography of 63 women in the second half of pregnancy is reported in this paper. Positioning was changed for control checks, and major deviations were found to occur to the ING curve with patients in lateral position. There was, above all, an improvement in the excretion phase on the relieved side. Less variation was recorded from the secretion phase. Those findings should be taken into due consideration, particularly for diagnosis of ureter obstructions in advanced pregnancy. Lateral positioning is recommended for the above reasons also in cases of late gestosis, gestational cystopyelitis, and suspicion of intra-uterine retardation of foetal growth. Lateral positioning proved to be superior to genupectoral positioning. -- The above findings appear to provide additional evidence in support of a hypothetic proposition according to which mechanical factors are of sizeable importance to the genesis of urinary retention in advanced pregnancy. Therefore, no publication should be made without data on patient positioning.

摘要

本文报道了63例妊娠晚期女性的诊断性同位素肾造影。为了进行对照检查改变了体位,发现侧卧位患者的ING曲线出现了主要偏差。最重要的是,患侧的排泄期有所改善。分泌期记录到的变化较小。这些发现应予以适当考虑,特别是在诊断晚期妊娠输尿管梗阻时。出于上述原因,对于晚期妊娠中毒症、妊娠性膀胱肾盂炎以及怀疑胎儿宫内生长迟缓的病例,也建议采用侧卧位。事实证明,侧卧位优于胸膝卧位。——上述发现似乎为一个假设命题提供了更多证据,该命题认为机械因素对晚期妊娠尿潴留的发生具有相当重要的意义。因此,没有关于患者体位的数据就不应发表文章。

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