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我院1977年1月至1984年12月收治上尿路结石并发急性肾功能不全16例,占同期收治尿路结石867例的1.8％,现报告如下: 临床资料 1.本组男14例、女2例,年龄27～60岁,表现为腰痛、恶心呕吐、无尿或少尿3～5天、尿路感染和上腹部肿块各5例、水中毒4例,发热3例,中毒性休克和消化道出血各2例,均有酸中毒及尿毒症,尿素>35.7mmol/L9例,CO_2CP<13.476mmol/L7例,血清钾6.8mmol/L2例,血红蛋白45g/L2例,X线平片示双肾或输尿管结
Our hospital from January 1977 to December 1984 admitted to upper urinary tract stones complicated by acute renal insufficiency in 16 cases, accounting for 1.8% of 867 cases of urinary tract stones admitted in the same period, are as follows: Clinical data 1. The group of 14 males, 2 females, aged 27 to 60 years old, manifested as back pain, nausea and vomiting, anuria or oliguria 3 to 5 days, urinary tract infection and upper abdominal mass in 5 cases, 4 cases of water poisoning, fever in 3 cases, toxic shock And gastrointestinal bleeding in 2 cases, both acidosis and uremia, urea> 35.7mmol / L in 9 cases, CO_2CP <13.476mmol / L in 7 cases, serum potassium 6.8mmol / L2 cases, hemoglobin 45g / L2 cases, X-ray Show renal or ureteral junction