先天性尿路梗阻与感染

Congenital Urinary Tract Obstruction and Infection

完全正常的泌尿系统固然可以发生感染,但更重要的是须注意局部有无尿路畸形的解剖基础,如先天性尿路梗阻.忽略这一点,感染就很难治愈,即使暂时感染得到控制,也常再发.本文就我院外科以发热和脓尿为主诉的40例尿路梗阻病例作一回顾性分析,并对诊断和治疗作简要讨论.

From 1964 to 1984,40 patients,17 males and 23 females, with congenital urinary tract obstruction were managed in Beijing Children's Hospital. The obstruction was caused by ureterocele (27 cases) and posterior urethral valves (10 cases).Besides,there was one case of pyelo-ureteral junction obstruction and 2 of vesico-ureteral junction obstruction.The first aid to patients in critical condition is to correct the unbalanced hydroelectrolytic equilibration,treat the infection and drain the urinary tract.Diagnosis mainly depends on intravenous pyelography,percutaneous antegrade pyelography and voiding cystourethrography.Choice of treatment should be based on the condition of the kidneys and the kind of disease.