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双侧上尿路结石所致肾功能不全,病情复杂,轻重不一,及时正确的处理,可使肾功能最大程度的恢复,自1986年至1997年6月共收治38例,均采用手术治疗,效果良好,现报道如下: 1 临床资料 本组38例,男性29例,女性9例。年龄18～62岁,平均43岁。病程最长15年,最短3月。入院时症状和体征:腰腹痛32例,血尿9例,恶心呕吐21例,完全无尿11例,少尿6例,发热6例,肾区包块4例;6例有结石手术史。实验室检查:Cr141.4～177.0umol/L者10例,185.9～442.6umol/18例,442.6～708.2umol/L4
Bilateral urinary tract stones caused by renal insufficiency, the condition is complex, varying in severity, timely and correct treatment, can maximize the recovery of renal function, from 1986 to June 1997 were treated 38 cases were treated by surgery , The effect is good, are reported as follows: 1 Clinical data The group of 38 patients, 29 males and 9 females. Age 18 ~ 62 years old, average 43 years old. Duration of up to 15 years, the shortest in March. Symptoms and signs on admission: 32 cases of abdominal pain, 9 cases of hematuria, nausea and vomiting in 21 cases, completely no urine in 11 cases, 6 cases of oliguria, fever in 6 cases, 4 cases of renal block; 6 cases of stone surgery. Laboratory tests: Cr141.4 ~ 177.0umol / L in 10 cases, 185.9 ~ 442.6umol / 18 cases, 442.6 ~ 708.2umol / L4