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作者分析了在1970和1971年就诊的506例尿石症患者。对他们进行综合治疗的同时,加用速尿,每天口服40毫克,服4天,停3天,重复3~4次,同时劝多饮水。应用速尿的适应症:1)结石直径不超过10毫米,存在于尿路任何部位,特别是在输尿管的下1/3处时;2)复发性结石形成时;3)无急性肾盂肾炎,且在结石上方无显著尿滞留时。应用速尿的禁忌症;1)急性肾盂肾炎或慢性肾盂肾炎急性发作;2)顽固而长期的排尿障碍;3)急性心血管功能不全和急性肺部疾患;4)结石的大小显著超过输尿管的口径。
The authors analyzed 506 patients with urolithiasis treated in 1970 and 1971. To their comprehensive treatment at the same time, add furosemide, oral 40 mg daily for 4 days, stop 3 days, repeat 3 to 4 times, while advised to drink more water. Indications of furosemide: 1) The diameter of the stone does not exceed 10 mm and exists in any part of the urinary tract, especially in the lower third of the ureter; 2) The formation of recurrent stones; 3) No acute pyelonephritis, And no significant urinary retention in the stones above. Contraindications to the use of furosemide; 1) acute episodes of pyelonephritis or chronic pyelonephritis; 2) persistent and prolonged micturition disorders; 3) acute cardiovascular insufficiency and acute lung disease; 4) the size of the stone significantly exceeds that of the ureter caliber.