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Renal failure after kidney ( report of 55 cases) _

 
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PostWysłany: Pon 0:56, 28 Mar 2011    Temat postu: Renal failure after kidney ( report of 55 cases) _

Renal failure after kidney (report of 55 cases)


Renal failure (PRRF) more common in urology, urinary tract obstruction is caused by renal failure after renal main reasons. Urinary tract obstruction after sustained pressure inside the renal pelvis caused by hydronephrosis, renal ischemia and compression can also occur due to renal atrophy, the results lead to renal failure after kidney [1]. Chronic urinary tract obstruction usually start, Incomplete, and gradually become acute, complete urinary tract obstruction, obstruction of obstruction of the higher parts of the more complete, more severe renal damage]. Review by statistical analysis of our cases we believe that post-renal causes of renal failure are common causes of urinary tract stones, bladder outlet obstruction (benign prostatic hyperplasia or bladder neck sclerosis), neurogenic bladder, urinary tract tumor or cancer, colon cancer, female pelvic tumor invasion and metastasis after surgery caused by urinary tract obstruction. Other uncommon cause of peritoneal fibrosis, caused by pelvic lipomatosis. Urinary Medicine in April 2004 Results section: 5 No. 4 after kidney stone obstruction caused by renal failure with acute renal failure (ARF) more common. Anuria or oliguria for its characteristics, the metabolites excreted disorder, rapid emergence of azotemia, water and electrolyte and acid-base balance disorders, and the resulting clinical syndrome symptoms, most patients require urgent treatment. The group of l6 cases of double acute renal failure caused by upper urinary tract calculi (ARF) after urine drainage or surgical treatment of 14 patients were stone renal function returned to normal. The other 2 patients with chronic renal failure caused by upper urinary tract calculi in patients without renal colic attacks due until the uremic state, treatment of kidney stones found in 1 case on one side, contralateral ureteral calculi, and 1 cases of bilateral ureteral calculi, although stone by surgery surgery but did not recover normal renal function. Bladder outlet obstruction (benign prostatic hyperplasia or bladder neck sclerosis) caused by urinary tract obstruction associated with chronic urinary retention, dealing with non-compensatory time can cause bladder dysfunction, leading to urine reflux, resulting in hydronephrosis and renal dysfunction. Prostatic hyperplasia with urinary retention in this group of 21 patients, 2 cases of female bladder neck sclerosis, the majority of chronic renal failure, after a slow course. I typical clinical manifestation, the performance of treatment when symptoms except dysuria, there are loss of appetite, nausea, fatigue, abdominal distension and other gastrointestinal symptoms. The indwelling catheter drainage of urine or bladder puncture nephrostomy most normal and renal function in patients with surgical treatment of primary disease, a small number of renal function after surgery returned to normal, no obvious improvement of individual renal function. 2 cases of elderly patients with internal diseases by combined urinary drainage, while renal function was improved, but died of pulmonary infection and heart failure. Patients with neurogenic bladder, the bladder or skin puncture nephrostomy drainage of renal puncture nephrostomy urine, renal function returned to normal. Urinary tract tumor or cancer, colon cancer, female pelvic tumor invasion and metastasis after surgery caused by urinary tract obstruction due to renal failure after renal difficult to remove if the primary disease, multiple renal puncture nephrostomy, built-in double-J tube drainage or treatment of primary disease, urinary diversion surgery simultaneously ease the renal function: The main group of patients with advanced bladder cancer, prostate cancer, rectal cancer, cervical cancer and other pelvic tumor compression or infiltration of the ureter caused by urinary tract obstruction, the urine drainage or renal function returned to normal operation of this group of patients after kidney caused by renal failure is a rare cause of peritoneal fibrosis in patients with pelvic lipomatosis and 1 patient each. Were treated with cystoscopy retrograde ureteropelvic I tube drainage and indwelling double bilateral ureteral reimplantation and postoperative renal function returned to normal. In conclusion,[link widoczny dla zalogowanych], renal failure after kidney (PRRF) the etiology and clinical diagnosis and treatment I is important in urology, urinary tract obstruction is caused by renal failure after kidney the main reason. Of obstruction reason, as soon as possible to remove the obstruction and restore urinary flow, to save and restore the principles of treatment renal function. 3


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