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目的探讨TUVP术后并发急性肾功能衰竭(ARF)的诊治。方法同顾分析2例TUVP患者术后出现ARF的临床资料。结果一例男性患者78岁,术后即出现无尿、血肌酐持续性上升(最高至316 μ mol/L),内科保守治疗后4d,肾功能逐渐改善,术后7d肾功能恢复至正常。另一例男性患者66岁,术后即出现无尿、血肌酐持续上升(最高达638 μmol/L)。经过术后第2天、第4天血透治疗,术后第9天,尿量、肾功能逐渐恢复正常。结论老年患者由于体质特殊,TUVP术后特别要注意ARF这类少见的并发症,若及时纠正,预后良好。
Objective To investigate the diagnosis and treatment of acute renal failure (ARF) after TUVP. Methods With the analysis of 2 cases of TUVP patients ARF clinical data. Results A male patient aged 78 years presented with anuria after operation and sustained increase of serum creatinine (up to 316 μ mol / L). The renal function improved gradually 4 days after conservative treatment, and renal function returned to normal 7 days after operation. Another male patient, 66 years old, presented with anuria after surgery and continued to increase serum creatinine (up to 638 μmol / L). After 2 days, 4 days after hemodialysis treatment, 9 days after surgery, urine output and renal function gradually returned to normal. Conclusion The elderly patients due to special physical, TUVP surgery should pay special attention to ARF such rare complications, if promptly corrected, the prognosis is good.