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1989年7月～1999年8月我院治疗下尿路梗阻致肾衰42例,报告如下。1 资料与方法1.1 本组42例,均为男性,年龄18～25岁,平均49岁。病人不能自行排尿或充溢性尿失禁3天～2个月,34例病人术前曾行膀胱穿刺术。病人首发症状多为恶心、呕吐、腰腹胀痛及浮肿。4例病人伴有心衰。原发病为前列腺增生症28例,前列腺癌4例,神经原性膀胱尿道功能障碍4例,炎性尿道狭窄2例,尿道断裂2例,尿道结核1例,阴茎癌1例。肾图检查32例,18例主要表现为肾功能中度或重度受损,14例表现为梗阻型肾图。血BUN 17.1～66.2 mmol/L,Cr 793～1162.l μmol/L,尿pH值5.8～7.2。1.2 1例病人在外院两次行膀胱造瘘术,形成膀胱腹腔瘘。我院急诊在全麻下行膀胱腹腔瘘修补、膀胱造瘘术,术后血压低,尿量少,家属拒绝进一步抢救,自动
July 1989 ~ August 1999 treatment of lower urinary tract obstruction caused by renal failure in 42 cases, the report is as follows. 1 Materials and Methods 1.1 The group of 42 patients, both men, aged 18 to 25 years, mean 49 years. Patients can not urinate or overflow urinary incontinence 3 days to 2 months, 34 patients had bladder biopsy before surgery. The first symptoms of patients with nausea, vomiting, waist pain and swelling. 4 patients with heart failure. Primary disease was benign prostatic hyperplasia in 28 cases, 4 cases of prostate cancer, neurogenic bladder and urethral dysfunction in 4 cases, inflammatory urethral stricture in 2 cases, urethral fracture in 2 cases, urethral tuberculosis in 1 case, penile cancer in 1 case. Nephrology examination of 32 cases, 18 cases were mainly manifested as moderate or severe renal impairment, 14 cases showed obstructive kidney diagram. Blood BUN 17.1 ~ 66.2 mmol / L, Cr 793 ~ 1162.l μmol / L, urine pH 5.8 ~ 7.2.1.2 1 patient in the outpatient hospital twice underwent cystostomy, the formation of cystal abdominal fistula. Emergency room in our hospital under general anesthesia bladder celiac fistula repair, bladder ostomy, postoperative blood pressure, less urine, the family refused to further rescue, automatic