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A case report of renal injury in kidney stones
zation. Burns, l986, 3:20432 LU Kai, Jia deficit, Fan Weihua, et al. The production of freeze-dried skin, experimental study and clinical application. Journal of Plastic and Burn Surgery, 1982,20 (6): 327 Li Guohui, Cao Yong, Wu Xie Qing, et al. Pig skin irradiated experimental study of silver fluoride. Journal of Plastic and Burn Surgery, l994, 10 (2): 206, only, Ij, j do not rent,[link widoczny dla zalogowanych], a lonely one-L. First, lay,, - Tuo,,, - Dian - Officials of,[link widoczny dla zalogowanych], competing one, lonely - ghosts, f mat? Case report of renal injury in kidney of silver carp Qinyong Bin Song Chung-a --- 7.7 ,---- I (Jiangxi Jingdezhen Jingdezhen City Third People's Hospital Surgery 333000) 1 in patients with clinical data, male, 31 years old. December 1993 while working in the coal mine ore injured lower back, then felt right flank pain and gross hematuria several solutions. Line B-Check said: hematoma in the lower pole of right kidney,[link widoczny dla zalogowanych], right kidney contusion. IVP examination revealed no abnormal kidneys was recovered. March 5, 1995 due to right flank pain in patients with intermittent gross hematuria asked 3 months into our hospital. admission examination tenderness percussion pain right renal area were positive B-ultrasound showed Intravenous urography and abdominal plain film showed: right kidney area multiple stones of varying sizes. The right renal pelvis is not developing,[link widoczny dla zalogowanych], right kidney contour away. with epidural anesthesia in the right kidney resection. intraoperative cortical meager see the right kidney, the kidney was cystic expansion of renal morphology disappeared. resection of pathological examination of renal delivery, see intrapelvic a 1.5cm × 0.5cm × 0. 8cm irregular stones, the stone surface of the renal pelvis mucosa was granular and dense adhesions, difficult dissection. renal size cup filled with different size stones to pieces. pathologic report as change, the right kidney with multiple stones. . in this case history and laboratory examinations ruled out metabolic disorders caused by the stones (non-bilateral, blood calcium and phosphorus in the normal range). medical history and no history of infection, therefore, in this case of stone formation only reason to consider is obstruction. Trauma Renal obstruction after the formation of two points reasons, ① hematoma oppression, so that the upper ureter, renal pelvis, calyceal neck compression, resulting in the formation of obstruction of drainage barriers, leading to stone formation; ② renal injury itself leads to the renal pelvis and calyceal neck laceration , leading to scarring, fibrosis,[link widoczny dla zalogowanych], thus forming the obstruction. from the point of view the evolution of this case, first, injury, chronic obstruction, leading to secondary stones. From the surgical results, the performance of serious obstruction, the kidneys were cystic, The stone was small and multiple. the prevention of such patients, regular follow-up is very important, every 3 to 6 months B-review, observation of the morphological changes of renal injury. contusion complications of renal fibrosis and renal action of kidney scarring arteriovenous fistula (urine) more common.
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