The emergency treatment of obstructive renal failure
10.3969/j.issn.1001-1420.2001.02.008
- VernacularTitle:梗阻性肾功能衰竭的急诊处理
- Author:
Yonggang YU
1
;
Huaqiang YAO
;
Xuede LI
;
Dongrong LIU
;
Yiangjie WU
;
Jianxun MO
;
Yang YU
;
Mingtan HUANG
Author Information
1. the 181th Hospital of PLA
- From:
Journal of Clinical Urology
2001;16(2):70-71
- CountryChina
- Language:Chinese
-
Abstract:
Purpose:To present the experiences and lessons of emergency management for the obstructive renal failure induced by urinary calculi.Methods:Clinical data of 81 cases of patients with obstructive renal failure from January 1988 to May 2000 was reviewed retrospectively.Results:14 cases were treated by emergent open operation (one died of bleeding ceaselessly), 36 cases by dwelling ureteral stent retrogradely(28 cases succeeded and no severe complications observed, the other 8 cases received nephrostomy of TUL),38 cases treated with percutaneous nephrostomy drainage(3 cases had to undergo nephrectomy, and the other 2 patients died after the primary treatment because of bleeding continually). The serum creatinine level decreased significantly after treatments(P＜0.01).Conclusions:It is noteworthy that the surgical interventions were affected severely by the bleeding tendency caused by uremia, and the complicated surgical intervention could not be carried out before the bleeding tendency be corrected. The indwelling ureteral stent retrogradely is recommended as the first choice of emergent treatment for patients with obstructive renal failure.
