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在尿石症流行地区,肾功能衰竭的病因应首先考虑结石梗塞泌尿道。本文报道88例结石性肾功能衰竭。其中急性肾功能衰竭6例,有疼痛、无尿或少尿及胃肠症状等,多能早期诊治。病因去除后肾功能常可康复。慢性肾功能衰竭的主要症状和体征为苍白、浮肿及腹部包块,症状不典型,容易误诊。本组误诊率高达51%。急性肾功能衰竭时作一般准备后即可行手术治疗。慢性肾功能衰竭重症者最好用特殊准备,待BUN及尿毒症状缓解后行手术,其效果才比较满意。
In the endemic area of urolithiasis, the cause of renal failure should first consider the stones in the urinary tract. This article reports 88 cases of stone kidney failure. Of which acute renal failure in 6 cases, there is pain, no urine or oliguria and gastrointestinal symptoms, and more early diagnosis and treatment. After removing the cause of kidney function often can be recovered. The main symptoms and signs of chronic renal failure are pale, edema and abdominal mass, the symptoms are not typical, easily misdiagnosed. Misdiagnosis rate of this group up to 51%. Acute renal failure after the general ready for surgical treatment. Severe chronic renal failure is best to use special preparation, until the BUN and uremic symptoms ease surgery, the effect was only satisfied.