中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
1999年
3期
150-152
,共3页
关汉礼%王英%地力夏提%米吉提沙克%艾尔肯%毛苏木
關漢禮%王英%地力夏提%米吉提沙剋%艾爾肯%毛囌木
관한례%왕영%지력하제%미길제사극%애이긍%모소목
小儿%上尿路结石%急性肾功能衰竭%手术
小兒%上尿路結石%急性腎功能衰竭%手術
소인%상뇨로결석%급성신공능쇠갈%수술
Children%Upper urinary lithiasis%Acute renal failure%Operation
目的 探讨小儿上尿路结石梗阻造成急性肾衰的病理生理.分析手术治疗的临床疗效.方法 先行利尿合剂冲击疗法或经皮肾穿刺置管引流,改善垂危状况后手术取石解除梗阻.结果 对74例患儿的62个肾、19根输尿管、3个膀胱切开取石.67例获痊愈、7例死亡.结论 应用于成人的手术方法 也同样适用于小儿.手术解除一侧梗阻即可逆转全身情况,对侧择期手术肾功能并未发现代偿性减退或丧失.
目的 探討小兒上尿路結石梗阻造成急性腎衰的病理生理.分析手術治療的臨床療效.方法 先行利尿閤劑遲擊療法或經皮腎穿刺置管引流,改善垂危狀況後手術取石解除梗阻.結果 對74例患兒的62箇腎、19根輸尿管、3箇膀胱切開取石.67例穫痊愈、7例死亡.結論 應用于成人的手術方法 也同樣適用于小兒.手術解除一側梗阻即可逆轉全身情況,對側擇期手術腎功能併未髮現代償性減退或喪失.
목적 탐토소인상뇨로결석경조조성급성신쇠적병리생리.분석수술치료적림상료효.방법 선행이뇨합제충격요법혹경피신천자치관인류,개선수위상황후수술취석해제경조.결과 대74례환인적62개신、19근수뇨관、3개방광절개취석.67례획전유、7례사망.결론 응용우성인적수술방법 야동양괄용우소인.수술해제일측경조즉가역전전신정황,대측택기수술신공능병미발현대상성감퇴혹상실.
Objective To review the efficacy of operative treatment for acute renal failure resulted from obstruction of upper urinary lithiasis.Methods Seventy-four cases(male 51,female 23)of acute renal failure caused by upper urinary lithiasis were admitted from 1985 to 1997.The age ranged from 4 months to 11 years(mean 2 yrs and 10 mons).Prompt drainge by insertion of percutaneous nephrostomy tube and ictus therapy with diuretic mixture were indicated until the clinical situation of renal failure improved.Results Among the 74 patients(kidney 62,ureter 19,bladder 3),who underwent surgical removal of the lithiasis,67 survived and 7 died.Conclusions The operative management of adults with urinary lithiasis is also fit for children.When patients with bilateral lesions,the general situation will be reversed by unilateral releasing from the obstruction.The function of the contralateral kidney after an selective operation is still kept well.
