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双侧输尿管结石所致无尿性肾功能不全

[Anuric renal insufficiency caused by bilateral ureteral lithiasis].

作者信息

Grandjacques C, Peillon D, Bendjelid K, Combe C

机构信息

Service de réanimation, centre hospitalier général, Villefranche-sur-Saône, France.

出版信息

Ann Fr Anesth Reanim. 1997;16(4):378-80. doi: 10.1016/s0750-7658(97)81465-7.

Abstract

A 73-year-old man was admitted to the ICU for anuria. He reported no history of urinary disease. The abdominal roentgenography and two echographies showed an empty urinary bladder, a right ureteral calculus without dilatation of the urinary tract. Computed tomography demonstrated the presence of a left ureteral stone. Bilateral retrograde ureteroscopy and drainage allowed a rapid recovery. When the abdominal roentgenography and echography cannot explain the occurrence of anuria, the computed tomography, or better the helical CT, can demonstrate the presence of otherwise unrecognized calculi.

摘要

一名73岁男性因无尿入住重症监护病房。他自述无泌尿系统疾病史。腹部X线检查和两次超声检查显示膀胱空虚,右侧输尿管结石且尿路无扩张。计算机断层扫描显示左侧输尿管有结石。双侧逆行输尿管镜检查及引流使患者迅速康复。当腹部X线检查和超声检查无法解释无尿的发生时,计算机断层扫描,更好的是螺旋CT,能够显示出原本未被发现的结石。

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