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目的:探讨急诊经皮肾造瘘术(PCN)在治疗高危急性梗阻性肾衰竭患者中的作用。方法:我院急诊科收治处理的高危急性梗阻性肾衰竭18例患者急诊行PCN及时充分地引流梗阻尿液,观察记录术前及术后第1、3、7天的血肌酐、尿素氮、钾离子的变化情况。结果:18例患者引流后肾功能逐渐恢复正常,二期进一步治疗。结论:PCN操作简单、安全性高,能够及时解除梗阻、改善肾功能;还可以为进一步病因治疗争取时间,同时降低围手术期的风险,是处理急性肾后性梗阻性肾衰竭较为有效的方法。
Objective: To investigate the role of emergency percutaneous nephrostomy (PCN) in the treatment of high-risk acute obstructive renal failure. Methods: Eighteen patients with high-risk acute obstructive renal failure treated by emergency department of our hospital were enrolled in this study. PCN was promptly and fully diverted to obstruct the urine. The serum creatinine, urea nitrogen, Potassium ion changes. Results: The renal function of 18 patients returned to normal gradually after drainage and further treatment was carried out in the second phase. Conclusions: PCN is simple, safe and can relieve obstruction and improve renal function in time. It can also be used for further treatment of etiology, reduce the risk of perioperative period, and it is a more effective method to treat acute renal obstructive renal failure .