儿科患者的大规模水肌:管理和源控制的病例报告
Nadya Rahmatika1, Soetojo Wirjopranoto2, Yufi Aulia Azmi3
1Faculty of Medicine, Wijaya Kusuma University, Surabaya, Indonesia.
International journal of surgery case reports
|December 28, 2024
概括
本案例报告详细介绍了由尿管盆结 (UPJ) 狭窄引起的儿童大规模肌的管理方法. 两阶段的治疗包括初始的转移,随后是造术,以成功管理脏阻塞.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 腎臟病學 (nephrology) 是一種醫學.
- 手术管理的手术管理.
背景情况:
- 水性,脏收集系统扩张,可以导致由于尿液流通阻塞而导致肌性 (存在).
- 儿科患者的大规模肌发作带来了重大的临床挑战,需要迅速干预.
研究的目的:
- 报告一个小儿病患患有大规模肌病的病例.
- 描述这种情况的管理策略和源控制.
- 为了突出两阶段治疗方法的有效性.
主要方法:
- 一名10岁的男孩患有严重的左侧水和肌,接受了皮肤通术 (PCN) 以转移.
- 升级前的皮叶扫描显示了左尿管盆结 (UPJ) 狭窄.
- 治疗包括抗生素,白蛋白输血,双J支架 (DJ) 放置,以及随后的皮叶造形术.
主要成果:
- 穿皮瘤术成功转移了,改善了患者的病情.
- 尿液培养物鉴定出金黄色葡萄球菌,指导抗生素治疗.
- 皮叶造形术解决了UPJ狭窄,导致患者出院.
结论:
- 一个两阶段的管理方法是有效的水缩与 pyonephrosis 并发症.
- 通过PCN进行最初的转移,然后进行最终的皮埃洛塑性治疗UPJ狭窄和感染.
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