首页> 中文期刊> 《微创泌尿外科杂志》 >头孢曲松钠相关药物性结石引起急性肾功能衰竭的微创治疗研究

头孢曲松钠相关药物性结石引起急性肾功能衰竭的微创治疗研究

         

摘要

Objective:To explore the minimally invasive treatment of acute renal failure associated with ceftri-axone sodium-related drug calculi.Methods:Thirteen cases of acute renal failure caused by deftriaxone sodium-re-lated drug calculi were retrospectively analyzed in our hospital from October 2013 to October 2016.There were 5 males and 8 females with mean age of 34 years.The mean serum creatinine level was 384 μmol/L and mean urea nitrogen was 12.3 mmol/L.Indwelling of ureteral stents by bladder scope was done.Results:All 13 patients were successfully subjected to indwelling of ureteral stents.Thirty min to 1 h after operation,the average urine was 1 500 mL.After 2-3 days,renal function was normal.Conclusions:In acute renal failure caused by ceftriaxone so-dium-related drug calculi,ureteral obstruction should be relieved as soon as possible,renal function recovers,and simultaneously,ceftriaxone sodium should be used normatively.%目的:探讨头孢曲松钠相关性药物性结石引起急性肾功能衰竭的微创治疗.方法:回顾性分析2013年10月~2016年10月应用头孢曲松钠治疗后发生急性肾功能衰竭13例患者的临床资料,其中男5例,女8例,平均34岁.肾功能平均Cr 384 μmol/L,BUN 12.3 mmol/L.急诊行膀胱镜下留置输尿管支架管.结果:13例患者均顺利留置输尿管支架管,手术治疗后30 min~1 h内尿液平均为1500 ml.2~3 d后肾功能均恢复正常.结论:头孢曲松钠相关性药物性结石引起急性肾功能衰竭,应尽快解除梗阻,恢复肾功能,同时要规范使用头孢曲松钠.

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