论文部分内容阅读
肾结石是指一些晶体物质(如钙、草酸、尿酸、脱氨酸)和某些基质(如基质A、Tamm Horsfall蛋白、酸性粘多糖等)在肾脏的异常聚积。在我国东南各省发病率较高。我省近年来亦有不少这类患者。我们在急诊工作中经常遇到泌尿道结石(UrinaryTract Calculi,UTC)这一泌尿科常见急症。患者多由于运动,夜间翻身等诱发肾绞痛,背腰或肋腹绞痛,辗转不宁,大汗淋漓。痛苦难忍。临床上用药虽多但疗效不甚满意,且多数患者不愿接受手术治疗。我们应用山莨菪碱、硝酸甘油、25％硫酸镁、20％甘露醇联合治疗,取得了满意效果。现将近2年来治疗的UTC患者86例体会报道如下。
Kidney stones are the abnormal accumulation of some crystalline substances (such as calcium, oxalic acid, uric acid, and desatine) and some of the substrates (such as matrix A, Tamm Horsfall protein, acid mucopolysaccharide, etc.) in the kidneys. In our southeastern provinces higher incidence. In recent years, there are many such patients in our province. We often encounter urinary tract calculi (UTC), a common urology emergency in emergency work. More patients due to exercise, turning over at night and other induced renal colic, back or rib colic, restless, sweating. Painful. Although many clinical medication, but the effect is not satisfied, and most patients do not want surgery. We use anisodamine, nitroglycerin, 25% magnesium sulfate, 20% mannitol combination therapy, and achieved satisfactory results. The treatment of 86 patients with UTC in the past two years is reported below.