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21例上尿路结石死亡病例分析

AN ANALYSIS OF 21 FATAL CASES OF THE UPPER URINARY TRACT CALCULUS

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【作者】 王维鑫; 曹圣予; 俞尧平;

【Author】 Wang Weixin Cao Shengyu Yu YaopingDepartment of Urology, The First Affiliated Hospital. Hunan Medical College

【机构】 湖南医学院第一附属医院泌尿外科; 湖南医学院第一附属医院泌尿外科;

【摘要】 对21例上尿路结石死亡病例分析讨论。死亡率为1.35%。治疗以解除梗阻,引流尿液为原则。严重尿毒症患者,先行血液透析,纠正尿毒症,再行手术较为安全。

【Abstract】 Twenty one fatal cases of the upper urinary tract calculus were analysed. The exact, prompt preoperative diagnosis and adequate management are primarily important and closely related to the prognosis of the patients. It depends on the prompt relief of obstruction and complete eradication of infection of the urinary tract, which not only enhance the recovery of the renal function but also importment to the lifesaving of the patients.Usually the operation should be as simple as posible.But in severe uremic cases the pre and postoperative hemodialysis should be emphatically considered. Then, the type of operation will depend upon the conditions of the patients afterwards.

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