非尿路结石致梗阻性肾功能衰竭的临床处理

Clinical Management of Obstructive Renal Failure Caused by Non-urinary Tract Stones

目的总结非尿路结石所致梗阻性肾功能衰竭的临床处理经验。方法回顾分析5例消化道肿瘤以及女性盆腔肿瘤术后浸润转移致上尿路梗阻性肾功能衰竭患者的处理方法。结果经不同对症处理,引流尿液后,5例患者肾功能均恢复正常。3例分别在3个月、7个月和10个月后死于原发病的转移、恶病质、多脏器功能衰竭;2例分别随访8个月和10个月,肾功能正常,尿量正常。结论对于晚期肿瘤因转移、压迫致梗阻性肾功能衰竭时,只要条件允许,应积极采取相应治疗方法,解除梗阻,引流尿液,以恢复正常肾功能,改善患者一般状况,提高其生活质量。

Objective To summarize the clinical management of the renal failure caused by non-urinary tract stones. Methods The cause and the management were analyzed retrospectively in five patients with obstructive renal failure after operation for alimentary tract malignant tumors and for female pelvic malignant tumors. Results Renal function of the five patients was＇ restored to normal by different ways. Later, three patients died of the tumor metastasis, dyscrasia and multiple system organ failure respectively after 3, 7 and 10 months. The other two patients were followed up respectively by 8 and 10 months, and their renal function and urine were normal. Conclusion The obstructive renal failure resulting from tumorous metastasis and compression at advanced stage ought to be treated actively by various ways for the relief of obstruction, for the drainage of urine, and for the recovery of normal renal functions. Thus, the general situation and the life quality of the patients can be improved.