对30例急性上尿路梗阻无尿患者，根据病因及病人当时情况分别采取不同术式进行治疗，结果除2例有不同氮质血症外，均治愈。认为KUB及B超是首选初步诊断方法，逆行插管是术前不可缺少的诊断依据。强调尽早诊断，及时解除梗阻，有效防治感染，是减少肾功能损害的关键。 30 cases of acute urinary tract obstruction in patients with anuria, according to the cause and the patient at the time were taken by different surgical procedures, the results in addition to 2 cases of different azotemia, were cured. That KUB and B-is the preferred initial diagnosis, retrograde intubation is an indispensable diagnosis before surgery. Emphasis on early diagnosis, prompt obstruction, effective prevention and treatment of infection, is the key to reducing renal damage.