没有扩张的阻塞性脏病
Valeria Feliciangeli1, Annalisa Noce2, Giulia Montalto3
1Department of Surgical Sciences, Unit of Urology, Tor Vergata University Hospital, Rome, Italy.
Clinical kidney journal
|October 11, 2024
概括
非扩张性阻塞性尿路病变 (NDOU) 是急性损伤 (AKI) 中具有挑战性的诊断. 早期识别NDOU,通常是由外部尿管压缩引起的,是迅速管理和潜在的功能恢复的关键.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 放射学 放射学是一门学科.
背景情况:
- 阻塞性病 (ON) 是急性损伤 (AKI) 的常见原因之一.
- 非扩张性阻塞性尿路病变 (NDOU) 呈现没有水,使诊断复杂化.
- NDOU约占尿道阻塞病例的5%.
研究的目的:
- 审查关于非扩张性阻塞性泌尿病 (NDOU) 的文献.
- 确定NDOU的主要原因和临床表现.
- 为了澄清AKI患者中NDOU的诊断怀疑标准.
主要方法:
- 叙事文学评论. 叙事文学评论. 叙事文学评论. 叙事文学评论.
- 包括患有后AKI和非扩张或最小扩张的收集系统的患者.
- 分析原因,临床表现和NDOU的管理.
主要成果:
- NDOU主要影响男性在他们的第五和第六十年.
- 常见的表现包括高肌,寡尿症/无尿症,腹痛和留液迹象.
- 外部尿道压缩 (逆肌纤维化,恶性瘤) 导致约75%的NDOU病例.
结论:
- 非扩张性阻塞性泌尿病 (NDOU) 诊断是具有挑战性的,但对于AKI管理至关重要.
- 及时诊断和尿路转移 (支架,瘤切除) 可以导致阻塞和功能衰竭的完全解决.
- 在非扩张的收集系统和相关症状的AKI患者中,有必要增加临床怀疑.
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