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目的为提高急性梗阻性自发性尿外渗 (SUEAO)的诊治水平。方法 :总结我院近 2 0年来收治的SUEAO11例诊治经验 ,并结合文献讨论其发病机制。结果 :本病多以肾绞痛起病 ,逐渐发展为持续性腹部疼痛 ,出现腹膜炎症状和体征 ,同时患侧肾区有极敏感的叩击痛 ;尿路造影或CT对诊断具有肯定的价值。结论 :一旦明确诊断 ,积极采取相应措施 ,解除尿路梗阻是治疗的主要原则。
The purpose is to improve the diagnosis and treatment of acute obstructive spontaneous urinary infiltration (SUEAO). Methods: To summarize 11 cases of SUEAO admitted to our hospital in the recent 20 years and to discuss its pathogenesis in combination with the literature. Results: Most of the disease onset of renal colic, and gradually developed into persistent abdominal pain, symptoms and signs of peritonitis, while the ipsilateral renal area has a very sensitive percussion pain; urography or CT has a positive value in the diagnosis . Conclusion: Once the diagnosis is confirmed and the corresponding measures are taken actively, urinary tract obstruction is the main principle of treatment.