手术经过本例入院后诊断为双侧输尿管结石。经查血型、纠正酸中毒等术前准备,立即行急诊手术。硬膜外麻醉,右下腹切口,触及结石后切开取出。结石以上输尿管明显扩张,此时病人情况允许,乃于左侧上腹部从第11肋尖向前做一斜切口,到达腹膜后,触及肾下极呈囊状,在其内侧的输尿管内摸到结石,切开取出。两侧伤口均放香烟卷引流。术中输血300毫升,经过平顺。术后输液维持电解质平衡,纠正酸中毒,用抗菌素控制感染。伤口渗液较多,但逐日减少,尿量则逐渐增多。术后第三及第四夭分别为4,900和3,200毫升。此后的一星期尿量维持在每日2,000毫升左右,全身浮 Surgery after this case was diagnosed as bilateral ureteral calculi. The blood type, correct acidosis and other preoperative preparation, emergency surgery immediately. Epidural anesthesia, right lower quadrant incision, cut open after touching the stones. Stones above the ureteral significantly expanded, this time the patient’s condition allows, is in the left upper abdomen from the 11th rib tip forward to do a oblique incision, after reaching the peritoneum, touches the cystic kidney under the pole, touched inside the ureter Stones, cut out. On both sides of the wound cigarette smoke drainage. Intraoperative blood transfusion 300 ml, after smooth. After infusion to maintain electrolyte balance, correct acidosis, with antibiotics to control infection. Wound exudate more, but decreased daily, urine output gradually increased. The third and fourth postoperative pelvis were 4,900 and 3,200 ml, respectively. After a week of urine output remained at 2,000 ml per day, the whole body floating