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Results:1 case with complicated pyonephrosis was treated with puncture and canalization;Two-stage operations of mini-PCNL was treated 1 week later.20 cases underwent one-stage PCNL,and were treated with single-access PCNL.The total stone clearance rate in one-stage PCNL was 95.2%;residual stones were seen in 5 case(23.8%),Only 1 case had obviously bleeding in or after operation.The mean time of operation was 2 hours,average hospitalization was 12 days.All were followed for 3-12 minths,1 case had recurrent stones.

结果:21例患者中,并发肾积脓1例,先行经皮肾穿刺造瘘术,1周后行二期mini-PCNL,其余20例均行一期穿刺取石,均为单通道穿刺取石,一期结石清除率95.2%;其中术后5例有残余结石,残余结石发生率为23.8%;术中术后有明显出血1例;手术平均时间2小时;平均住院时间12天;随访3~12个月,1例结石复发。

Methods:A rabbit model was developed with scald complicated with artificial infection of Pseudomonas aeruginosa.Studies were carried out by using the combat trauma spray group and the solution group.At day1,2,4,7,14,post experiments,rabbit serum was collected,the body temperatures of animals were taken,and such inflammatory factors as white cell count,serum levels of NO 2-/NO 3-,serum levels of tumor necrosis factor,serum superoxide anion,as well as GPT,AKP,aspartate carbamyl transferase,urea nitrogen were also collected to measure the functions of both the kidney and liver.

采用烫伤合并人工感染绿脓杆菌的家兔模型,用战伤喷剂与溶剂组于实验前和实验后第1、2、4、7、14天采集家兔血清,测量体温,检测白细胞数、血清NO 2-/NO 3-水平、血清肿瘤坏死因子水平、血清超氧阴离子等炎性因子水平以及谷丙转氨酶、碱性磷酸酶、天冬氨酸转移酶、肌苷和尿素氮等肝肾功能指标水平。

Objective To improve chronic renal failure complicated by renal diagnosis and treatment of emphysema.

目的 提高慢性肾功能衰竭并发肾积脓的诊治水平。

I love the amniotic fluid when it spills out of the bag. I love the kidney with its painful gallstones, its gravel and whatnot; I love the urine that pours out scalding and the clap that runs endlessly; I love the words of hysterics and the sentences that flow on like dysentery and mirror all the sick images of the soul; I love the great rivers like the Amazon and the Orinoco, where crazy men like Moravagine float on through dream and legend in an open boat and drown in the blind mouths of the river. I love everything that flows, even the menstrual flow that carries away the seed unfecund. I love scripts that flow, be they hieratic, esoteric, perverse, polymorph, or unilateral. I love everything that flows, everything that has time in it and becoming, that brings us back to the beginning where there is never end: the violence of the prophets, the obscenity that is ecstasy, the wisdom of the fanatic, the priest with his rubber litany, the foul words of the whore, the spittle that floats away in the gutter, the milk of the breast and the bitter honey that pours from the womb, all that is fluid, melting, dissolute and dissolvent, all the pus and dirt that in flowing is purified, that loses its sense of origin, that makes the great circuit toward death and dissolution.

我爱从羊膜中溅出的羊水;我爱生着引起痛苦的的结石、肾砂和诸如此类东西的肾脏;我爱撒出的热呼呼的尿和久治不愈的淋病;我爱歇斯底里的疯话、像拉痢疾一样一泻而出的句子和灵魂全部病态的映像;我爱亚马逊河和奥里诺科河这样的大河,那儿摩拉瓦基乃之流的狂人在一只无顶的小船上漂过了梦和古老的传说,淹死在瞎眼的河口中;我爱流动的一切,甚至爱女人来月经时流出的血,它冲走了生育能力不强的精子;我爱会流动的手稿,不论它们是用象形文字写的、深奥的、反常的、多形体的或是单边音的;我爱流动的一切,一切其中有时间的和适当的东西,它们把我们带回永远不会结束的开始中,即先知们激烈、令人狂喜的猥亵,宗教狂的智慧,牧师和他的橡皮连祷文,妓女的下流话,从排水道里漂走的唾液,乳房里的奶汁和子宫里流出的带苦味的蜜水,以及一切流质的、溶化的、放荡的和有溶解力的,所有在流动中得到静化的脓和脏物,那些失去其出身意识的东西和那些将大循环驱向死亡和瓦解的东西。

I love the amniotic fluid when it spills out of the bag. I love the kidney with its painful gallstones, its gravel and what not; I love the urine that pours out scalding and the clap that runs endlessly; I love the words of hysterics and the sentences that flow on like dysentery and mirror all the sick images of the soul; I love the great rivers like the Amazon and the Orinoco, where crazy men like Moravagine float on through dream and legend in an open boat and drown in the blind mouths of the river. I love everything that flows, even the menstrual flow that carries away the seed unfecund. I love scripts that flow, be they hieratic, esoteric, perverse, polymorph, or unilateral. I love everything that flows, everything that has time in it and becoming, that brings us back to the beginning where there is never end: the violence of the prophets, the obscenity that is ecstasy, the wisdom of the fanatic, the priest with his rubber litany, the foul words of the whore, the spittle that floats away in the gutter, the milk of the breast and the bitter honey that pours from the womb, all that is fluid, melting, dissolute and dissolvent, all the pus and dirt that in flowing is purified, that loses its sense of origin, that makes the great circuit toward death and dissolution.

我爱从羊膜中溅出的羊水;我爱生着引起痛苦的的结石、肾砂和诸如此类东西的肾脏;我爱撒出的热呼呼的尿和久治不愈的淋病;我爱歇斯底里的疯话、像拉痢疾一样一泻而出的句子和灵魂全部病态的映像;我爱亚马逊河和奥里诺科河这样的大河,那儿摩拉瓦基乃之流的狂人在一只无顶的小船上漂过了梦和古老的传说,淹死在瞎眼的河口中;我爱流动的一切,甚至爱女人来月经时流出的血,它冲走了生育能力不强的精子;我爱会流动的手稿,不论它们是用象形文字写的、深奥的、反常的、多形体的或是单边音的;我爱流动的一切,一切其中有时间的和适当的东西,它们把我们带回永远不会结束的开始中,即先知们激烈、令人狂喜的猥亵,宗教狂的智慧,牧师和他的橡皮连祷文,妓女的下流话,从排水道里漂走的唾液,***里的奶汁和子宫里流出的带苦味的蜜水,以及一切流质的、溶化的、放荡的和有溶解力的,所有在流动中得到静化的脓和脏物,那些失去其出身意识的东西和那些将大循环驱向死亡和瓦解的东西。

Objective To investigate the expression profile of macrophage inhibitory factor in heart and renal tissues of sepsis mice.

目的 探讨巨噬细胞移动抑制因子在脓毒症小鼠心脏和肾组织中的表达规律。

Results The patients aged 13 - 30 including 2 cases of type Ⅰ,7 cases of type Ⅱ and 1 case of type Ⅲ,had frequent symptoms of dysmenorrheal and abdominal pain (7 cases), vaginal puruloid secretion (3 cases) and infertility (3 cases); 10 of them were complicated with double uterus,2 with unicornous uterus, 3 with endometrial cystis; 8 of them were complicated with ipsilatera renal agenesis, 2 with horseshoe kidney; 2 of them were misdiagnosised.

结果患者年龄13-30岁,Ⅰ型2例,Ⅱ型7例,Ⅲ型1例;临床表现为下腹痛和痛经7例,阴道流脓3例,不孕症3例;10例例均合并双子宫,单角子宫2例,内膜囊肿3例;8例合并同侧肾脏缺如,2例合并马蹄肾;误诊2例;治疗以斜膈切开术为主,部分病例同时行内膜囊肿剥除和单角子宫切除。

The symptom and laboratory data in a perirenal abscess are nonspecific usually so that a perirenal hematoma should be closely monitored.

因为肾旁脓疡的症状和实验室检查经常不具特异性,因此肾旁血肿应该被严密监控。

Combination treatment of adequate drainage, antibiotics, and colonostomy is a good choice for perirenal abscess complicated with perirenocolonic fistula.

合并适度的引流、抗生素以及结肠吻合术共同治疗,对於肾旁脓疡并发肾旁结肠瘻管的病人而言,是一种好的治疗选择。

Chronic renal failure; with pyonephrosis; diagnosis; treatment

慢性肾功能衰竭;肾积脓;诊断;治疗

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