CAJ | 학술논문

目的探讨因食用三聚氰胺污染奶粉致急性肾后性肾功能衰竭婴儿的外科急诊处理方法与疗效.方法应用半硬性输尿管镜(F6.8)逆行输尿管插管冲洗术11例,开放输尿管切开取石术2例.结果本组除1例开放输尿管切开取石术后5h患儿又出现无尿且血红蛋白持续下降,再次行切口探查和腹膜透析外,其余12例均顺利恢复.本组13例肾功能均恢复正常,无手术并发症.结论对婴儿因食用三聚氰胺污染奶粉致上尿路结石引起的急性肾后性肾功能衰竭,在输尿管镜下逆行捕管置入输尿管导管冲洗术是一种微创、安全而又有效的治疗方法 ;对婴儿尿道狭小输尿管镜不能进入者,开放输尿管切开取石术也是一种有效的方法 ,但对有明显出血倾向者需先纠正出血倾向后再考虑开放手术解除梗阻.
목적 탐토인식용삼취청알오염내분치급성신후성신공능쇠갈영인적외과급진처리방법 여료효.방법 응용반경성수뇨관경(F6.8)역행수뇨관삽관충세술11례,개방수뇨관절개취석술2례.결과 본조제1례개방수뇨관절개취석술후5h환인우출현무뇨차혈홍단백지속하강,재차행절구탐사화복막투석외,기여12례균순리회복.본조13례신공능균회복정상,무수술병발증.결론 대영인인식용삼취청알오염내분치상뇨로결석인기적급성신후성신공능쇠갈,재수뇨관경하역행포관치입수뇨관도관충세술시일충미창、안전이우유효적치료방법 ;대영인뇨도협소수뇨관경불능진입자,개방수뇨관절개취석술야시일충유효적방법 ,단대유명현출혈경향자수선규정출혈경향후재고필개방수술해제경조.
Objective To evaluate the surgical emergent treatments and curative effects on in- fants suffering from acute post renal failure by consumption of powdered milk contaminated by mela- mine. Methods Eleven cases were treated with retrograded catheterizations of ureter with semi-rigid ureteroscopy (F6.8) and 2 cases were treated with. The renal function was followed up in these pa- tients. Results Only 1 patient got anuria and whose haemoglobin continued to drop postoperatively. This patient underwent a redo operation and peritoneal dialysis. The other 12 patients recovered well. The renal function of all the 13 children got back to normal without surgical complications. Conclusions The technique of retrograded catheterization of ureters under ureteroscope was a minimally invasive, safe and effective therapy for infants with post renal acute renal failure by consumption of powdered milk contaminated by melamine. For those infants whose urethras are thin and small, is also an effec- tive method, But the bleeding tendency should be corrected before open.