摘要
目的探讨老年上尿路梗阻性脓肾并肾衰诊治分析方法。方法对14例上尿路梗阻性脓肾并肾衰老年患者的临床特点、诊断和治疗,并结合文献进行讨论。结果经肾穿刺造瘘及血液透析及尿道输尿管镜配合气压弹道碎石后加双J管内支架引流,手术解除梗阻后及患肾切除后肾功能好转7例,维持性血液透析4例,死亡3例;结论积极的治疗能改善肾功能。
Objective To discussesing the diagnosis and analysis the elderly Upper Urinary Tract Obstruction with pyonephrosis and the Renal Function Failure. Method The Clinical characteristics,diagnosis and treatment of eldlerly upper urinary tract obstruct ion complicated with pyonephrosis in 14 cases were review ed, and discussed in the light of literature. Results invasive percutaneous nephrostomy or the hemodialysis and ureteroscopic lithotripsy with double J ureteral stents, obstruction of urinary tract was removed, kidney function changes for the better 7 cases The maintenance hemodialysis 4 cases, died 3 cases;Conclusion The positive treatment can improve the kidney function.
出处
《国际医药卫生导报》
2006年第13期65-67,共3页
International Medicine and Health Guidance News
关键词
老年
上尿路梗阻
肾积脓
肾衰
elder upper urinary obstruction pyonephrosis renal failure
