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目的:探讨急性肾后性肾功能不全的原因及临床处理。方法:回顾性分析2003～2008年6例肾后性肾功能不全患者的临床资料,总结治疗方法。结果:上尿路梗阻原因5例,其中盆腔肿瘤3例,子宫颈癌2例,子宫内膜癌1例;孤立肾、输尿管结石1例;乙状结肠癌根治术后造成双侧输尿管下段压迫1例。下尿路梗阻原因1例,为BPH并发尿潴留。急诊行输尿管逆行双J管置入术3例,其中双侧置管1例,单侧置管2例;血液透析后行ESWL 1例;B超引导下肾穿刺造瘘术1例;留置尿管肾功能恢复后行TURP术1例。6例患者梗阻解除后,3～10天肾功能有不同程度恢复。结论:导致急性肾后性肾功能不全的原因众多,以肿瘤、结石、前列腺增生进行性尿潴留为主。急诊处理原则为解除梗阻,改善肾功能。待患者肾功能恢复后,针对不同病因进行治疗。
Objective: To investigate the causes and clinical treatment of acute renal renal dysfunction. Methods: The clinical data of 6 patients with renal insufficiency after renal insufficiency from 2003 to 2008 were analyzed retrospectively, and the treatment methods were summarized. Results: Upper urinary tract obstruction in 5 cases, including 3 cases of pelvic tumors, 2 cases of cervical cancer, endometrial cancer in 1 case; isolated kidney, ureteral calculi in 1 case; sigmoid colon cancer caused by compression of the lower ureter in 1 case . Lower urinary tract obstruction in 1 case, BPH complicated with urinary retention. Emergency ureter retrograde double J tube implantation in 3 cases, including bilateral catheter in 1 case, unilateral catheter in 2 cases; ESWL after hemodialysis in 1 case; B-guided renal puncture in 1 case; indwelling urine Tubal function recovery after TURP surgery in 1 case. 6 cases of patients with obstruction after 3 to 10 days of renal function with varying degrees of recovery. Conclusion: There are many reasons that lead to acute renal renal insufficiency. The main cause of urinary retention is malignant tumor, stone and benign prostatic hyperplasia. Emergency treatment principle to relieve obstruction, improve renal function. After the recovery of renal function, treatment for different causes.