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ファイル | 記述 | サイズ | フォーマット | |
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35_851.pdf | 2.61 MB | Adobe PDF | 見る/開く |
タイトル: | 経尿道的腎盂ドレナージにより救命しえた気腫性腎盂腎炎の1例 |
その他のタイトル: | A case of emphysematous pyelonephritis with septic shock recovered by transurethral drainage of pelvis |
著者: | 岡本, 知士 野村, 一雄 阿部, 俊和 横田, 季世士 萬谷, 嘉明 久保, 隆 大堀, 勉 |
著者名の別形: | Okamoto, Tomoshi Nomura, Kunio Abe, Toshikazu Yokota, Kiyoshi Banya, Yoshiaki Kubo, Takashi Ohhori, Tsutomu |
キーワード: | Balloon Dilatation Disseminated Intravascular Coagulation/etiology Drainage/methods Emphysema/complications/therapy Female Humans Intubation, Intratracheal Kidney Failure, Acute/etiology Kidney Pelvis Middle Aged Multiple Organ Failure Pyelonephritis/complications/therapy Shock, Septic/etiology |
発行日: | May-1989 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 35 |
号: | 5 |
開始ページ: | 851 |
終了ページ: | 856 |
抄録: | A case of emphysematous pyelonephritis with septic shock was present in a 58-year-old diabetic woman. The spontaneous production of gas was present within the right renal pelvis in kidney-ureter-bladder X-ray. The patient's condition deteriorated rapidly after admission, became complicated with acute renal failure, disseminated intravascular coagulation and acute respiratory failure. Transurethral drainage of the pelvis using a 6 Fr. UPJ occlusion balloon catheter and endotracheal intubation with respiratory assistance were performed as a life-saving procedure. The optimal therapy with surgical or conservative approach for such a severe condition is discussed. The use of transurethral drainage of pelvis as a non-invasive treatment is suggested. |
URI: | http://hdl.handle.net/2433/116528 |
PubMed ID: | 2678963 |
出現コレクション: | Vol.35 No.5 |
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