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[Attentive problem in the clinic about acute obstructive anuria at upper urinary tract]
Zhao-dian Chen1, Si-ming Wei, Song-liang Cai
1Department of Urology, First Affiliated Hospital, Medical College, Zhejiang University, Hangzhou 310003, China.
Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]
|March 3, 2004
Summary
Acute obstructive anuria in the upper urinary tract can be effectively managed by promptly removing the obstruction and treating infections. Most patients regain normal kidney function, highlighting the importance of timely intervention for acute kidney injury.
Area of Science:
- Nephrology
- Urology
Context:
- Acute obstructive anuria presents significant clinical challenges.
- Understanding diagnostic and therapeutic strategies is crucial for patient outcomes.
Purpose:
- To enhance comprehension of acute obstructive anuria in the upper urinary tract.
- To guide effective clinical management of this condition.
Summary:
- A retrospective analysis of 55 patients with acute obstructive anuria was conducted.
- Diagnosis relied on anuria, lumbago, edema, and elevated creatinine/urea nitrogen.
- B-ultrasonography and KUB imaging were primary diagnostic tools.
- Treatment focused on prompt obstruction relief and infection control to preserve renal function.
Impact:
- 78.2% of patients recovered normal renal function.
- 18.2% experienced persistent azotemia.
- Tumor as a cause requires attention; ureteral intubation is a primary treatment; diuretics should be used cautiously.