孤立肾合并胃肠炎患者无尿一例报告研究

S. Mohajeri, A. Salehifard, Aliasghar Rabiei
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摘要

为了更好地管理急性肾损伤(AKI)和预防进行性肾损伤,控制肠胃炎等感染是极其重要的。此外,无尿被认为是AKI的一个危险因素,甚至会导致患者死亡。一名18个月大的男婴因呕吐和腹泻3天,无尿24小时被转介到Farsan医院。患者每天约7-8次大肚子水样腹泻,每天呕吐3-4次,呕吐物中含有食物颗粒。他在第一天和第二天发烧。超声显示右肾不存在,左肾代偿性肥大。同时观察患者血液生化因子的紊乱。酸中毒及其他生化障碍用碳酸氢盐滴注、别嘌呤醇滴注、拉西克斯滴注、多巴胺滴注治疗。大约18小时后,无尿症得到治疗。
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Anuria in solitary kidney patient with gastroenteritis: A case report study
For better management of acute kidney injury (AKI) and prevention of progressive renal injury, it is extremely important to manage infections such as gastroenteritis. In addition, anuria is considered a risk factor for AKI and even causes death in patients. An 18-month-old boy with vomiting and diarrhea for three days and anuria for 24 hours was referred to Farsan hospital. The patient had bulky and watery diarrhea about 7-8 times a day and vomited 3-4 times a day which was containing food particles. He had a fever on the first and second days. Ultrasound findings revealed that the right kidney did not exist, and the left kidney was affected by compensatory hypertrophy. Disorders in the patient’s blood biochemical factors were also observed. Acidosis and other biochemical disorders were treated with bicarbonate drip, allopurinol, Lasix drip, and dopamine drip. After about 18 hours, anuria was treated.
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