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患者,男性,48岁。右侧腰酸间歇性阵发绞痛一年,加重一周,少尿六天,尿闭一天,于1990年2月1日入院。无肉眼血尿史。八年前因左肾血管平滑肌脂肪瘤在外院行左肾切除术。一年前曾自排淡黄色、表面光滑,米粒大小结石一枚。体格检查:一般情况差,血压18.6/13.3kPa,全身浮肿,双肺底可闻及湿性罗音。右肋脊角压痛,叩击痛阳性。腹部相当于右输尿管走行区有压痛。化验:BUN27.8mmol/L,CO_2cp:15.7mmol/L,血尿酸:963.6mmol/L。静脉肾盂造影来见阳性结石影,右侧肾、输尿管均来显影。右侧逆行造影输尿管上段可见边缘光滑之充盈缺损。确诊为右输尿管阴性结石,肾后性肾衰。在右输尿管导管指引下急诊行体外冲击波碎石术(ESWL),冲击
Patient, male, 48 years old. Right backache intermittent intermittent colic for one year, aggravating a week, oliguria six days, urine closed one day, on February 1, 1990 admission. No gross hematuria history. Eight years ago due to left renal angiomyolipoma in the hospital left nephrectomy. A year ago since the row of light yellow, smooth surface, a grain of stone size. Physical examination: The general situation is poor, blood pressure 18.6 / 13.3kPa, body edema, lung bottom can be heard and wet rales. Right rib ridge tenderness, percussion pain positive. Abdomen is equivalent to right ureteral walking area have tenderness. Laboratory: BUN27.8mmol / L, CO_2cp: 15.7mmol / L, uric acid: 963.6mmol / L. Intravenous pyelography to see the positive shadow of the stone, the right kidney, ureter to develop. On the right retrograde contrast ureter visible margin smooth filling defects. Diagnosis of right ureter negative stones, renal renal failure. Emergency radical extracorporeal shock wave lithotripsy (ESWL) guided by the right ureter catheter shocks