Hayashi K, Horikoshi S, Hirano K, Shirato I, Tomino Y
Department of Medicine, Juntendo University School of Medicine, Tokyo, Japan.
Nihon Jinzo Gakkai Shi. 1996 Oct;38(10):460-2.
A 63-year-old man had anuria associated with a unilateral ureteral stone for 24 hours. Laboratory data indicated marked azotemia with the serum creatinine concentration of 7.2 mg/dL and urea nitrogen of 48 mg/dL. The radiological findings revealed contralateral hydronephrosis. Spontaneous discharge of the ureteral stone reversed the anuria and uremia. Both ureteral and vascular spasms were attributed to the anuria in this patient.
一名63岁男性因单侧输尿管结石出现无尿24小时。实验室检查显示严重氮质血症,血清肌酐浓度为7.2mg/dL,尿素氮为48mg/dL。影像学检查发现对侧肾积水。输尿管结石自行排出后,无尿和尿毒症症状得以缓解。该患者的无尿归因于输尿管和血管痉挛。