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目的分析梗阻性肾病并肾功能不全的诊治及转归。方法选择2008年1月到2009年12月偃师市人民医院梗阻性肾病并肾功能不全住院患者18例进行回顾性分析。结果 18例患者中肾积水消失14例,肾积水减轻4例。10例未透析患者中3例血肌酐降至正常范围,7例血肌酐降至115~294 umol/L之间。8例透析患者中2例经3次血液透析1周后停透;4例患者透析3个月后血肌酐水平维持在230~560 umol/L,2例患者血肌酐维持在990 umol/L水平,行常规透析治疗。结论解除梗阻是处理此类疾病的重要手段之一,及早发现尿路梗阻并采取有效治疗措施,可保存和恢复肾功能。
Objective To analyze the diagnosis and treatment of obstructive nephropathy with renal insufficiency. Methods January 2008 to December 2009 Yanshi People’s Hospital of obstructive renal disease and renal insufficiency inpatients 18 cases were retrospectively analyzed. Results Eighteen patients disappeared in 14 cases of hydronephrosis, hydronephrosis in 4 cases. Serum creatinine dropped to the normal range in 3 of 10 non-dialysis patients and serum creatinine dropped to 115-294 umol / L in 7 patients. Two of the 8 dialysis patients were stopped after 1 hemodialysis for 1 week; the serum creatinine level was maintained at 230-560 umol / L in 4 patients after dialysis for 3 months, and the serum creatinine was maintained at 990 umol / L in 2 patients , Routine dialysis treatment. Conclusion To relieve obstruction is one of the most important ways to treat such diseases. Early detection of urinary tract obstruction and effective treatment can save and restore renal function.