 Wysłany: Pią 18:49, 25 Mar 2011 Temat postu: After the impatient trunk kidney renal failure _17 |
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| Impatient trunk kidney renal failure after
B ultrasound diagnosis of hydronephrosis of the sensitivity of In determining whether there is positive impact of urine and kidney stones the size of area, KUB plain film of great value, it can also distinguish between different types of urinary tract obstruction. Check on intravenous urography still dispute reported in the literature caused by the contrast agent approximately 10% of MCF, in the etiology of ARF due to drug toxicity of aminoglycoside antibiotics ranks second only to the first two, particularly with primary kidney damage , blood Cr> 133.6pmol / L, is the most important risk factor ', and the situation in the downlink intravenous urography ARF is often poor or non-imaging development, so we do not intravenous urography as the preferred, the method commonly used in The urinary drainage, renal function returned to normal cases. Retrograde urography after sex especially for renal ARF, not only clear cause, r solution of puddles, and can then place the double J tube drainage of urine, improve symptoms, for further treatment provides a good condition. MRU in recent years, urinary tract obstruction on examination maturing and mature, MRU can clearly show the collecting system, especially the expansion of fluid part of the site of obstruction can be clearly demonstrated and the cause of obstruction, renal function can be partially reflected, check without contrast and radiation exposure time, especially for renal insufficiency, children, pregnant women and elderly persons suffering from lS, with the MRU technology continues to mature and raise the level of access to films, urinary diseases will become an important means of diagnosis. Obstructive acute renal failure treatment depends on the cause of obstruction, duration and severity of the disease. The primary issue is the urinary drainage, in recent years we have built mainly cystoscope retrograde double-J tube, especially for kidney stones, ureteral stones and renal malignancy after obstruction, renal function can be quickly restored, to be in stable condition before making the appropriate treatment. Has been reported ureteroscopic treatment of urinary calculi obtained satisfactory results, and lower ureteral stones direct line cavity gravel and stone, the ureter in the upper stone,tory burch flats, stone difficulties or severe illness, could first use the ureteroscope the stone back into the renal pelvis , set double-J tube or catheter for stent lose feces tube drainage, when the situation improved after undergoing elective ESWL. Renal biopsy can be used if intubation failed fistula, but no significant hydronephrosis in solitary kidney or those who want to be careful. Critically ill persons, such as hyperkalemia, water intoxication symptoms can first hemodialysis. Can be acute, such as mild line ESWL, patients in this group except l failure of lower ureteral stones, the other succeeded. |
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