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我院今年年初连续收治4例急性肾后性肾衰(PRRF),皆属胃肠道肿瘤广泛转移压迫输尿管所致.报告如下: 例1 男性,39岁,因直肠癌术后1年,伴浮肿、少尿3天入院.1年前行直肠癌根治术.病理报告:直肠蕈伞型低分化腺癌(Dukes C3期).术后行4周化疗.入院前3天开始尿量减少至无尿.体检:Bp 21/12.5KPa,面部轻度浮肿,轻度贫血面容,双肾区即击痛阳性,未触及包块.血肌酐1222μmol/,尿素氮36.4mmol/l,B超及MRI、泌尿系统核磁共
4 cases of acute renal Renal Failure (PRRF) were consecutively treated in our hospital earlier this year, all of which are caused by the extensive transfer of gastrointestinal tumors and oppression of the ureter.The report is as follows: Example 1 Male, 39 years old, 1 year after surgery for rectal cancer Edema and oliguria were admitted to hospital for 3 days.1 Radiosurgery was performed 1 year ago.Pathological report: Dukes C3 stage of rectosynthesis.After 4 weeks of chemotherapy, the urine output decreased to Anuria: Physical examination: Bp 21 / 12.5KPa, mild facial edema and mild anemia, positive painful pain in the kidneys, non-palpable mass, creatinine 1222μmol /, urea nitrogen 36.4mmol / l, B ultrasound and MRI Urinary nuclear magnetic resonance