急性梗阻性氮质血症

ACUTE OBSTRUCTIVE AZOTEMIA

本文收集7例急性梗阻性氮质血症病人,分别为盆腔肿瘤引起纤维化所致输尿管梗阻2例,肾输尿管结石所致梗阻4例,左肾萎缩右输尿管末端狭窄1例。分别行输尿管结石取出术、紧造瘘术、输尿管膀胱吻合术及输尿管插管引流术。本组病人术前均有血尿素氮升高,术后血尿素氮大多恢复正常。本文讨论了该症的致病原因、发病机理及临床治疗方法。

Seven cases of acute obstructive azotemia were collected and reported here, among whom, 2 cases were resulted from pelvic malignant tumors followed by fibrosis, 4 from renal and ureteral stones, and 1 from renal atrophy on the left side and ureteral terminal stenosis on the right side. Ureterostomy. nephrostomy. ureterocystanastomosis. and ureteral catheterization were performed respectively. Preoperative BUN was at high levels and returned to normal postoperatively in the majority of these patients. Etiology, pathogenesis and clinical management were discussed.