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我院自1984年8月1987年8月共用维生素K_3治疗肾、输尿管绞痛80例,现结合临床资料作一初步小结。 临床资料 本组共80例,男71例,女9例。年龄在18～56岁。发病时间最短者2小时,最长3天。肉眼血尿47例,镜下血尿33例。肾区及腰腹部绞痛并向会阴部放射51例。夜间或午间睡眠时突然绞痛发作57例。持续性绞痛39例,间歇性发作33例,8例仅有钝痛。入院病人中其中经系统检查治疗,行X线摄片证实有结石存在者20例。经静脉肾盂造影及B超示有轻度肾积水16例。用药后3小时排出结石者2例,38小时排出2例,7天排出9例,15天排出7例。结石排出率为82％。肉眼可见者16例,结石大小约为0.1～0.6cm10例,0.6～0.9cm6例。光滑结石8例,表面粗糙4例。1例为5枚米粒大小,3例自述为高梁米大小。4例无效均为输尿管下端结石。用药后30分钟疼痛减轻者63例,60分钟症状基本消失41例,但仍
Our hospital since August 1984 August 1987 common vitamin K_3 treatment of kidney and ureteral colic 80 cases, are combined with clinical data for a preliminary summary. Clinical data of this group a total of 80 cases, 71 males and 9 females. The age of 18 to 56 years old. The shortest onset time of 2 hours, up to 3 days. 47 cases of gross hematuria, 33 cases of microscopic hematuria. Kidney area and waist and abdominal cramps and perineal radiation in 51 cases. 57 cases of sudden colic attack during nighttime or midday sleep. 39 cases of persistent colic, intermittent episodes of 33 cases, 8 cases only dull pain. Admission of patients in which the system examination and treatment, line X-ray confirmed the presence of stones in 20 cases. Intravenous pyelography and B ultrasound showed mild hydronephrosis in 16 cases. 2 cases were discharged after 3 hours of treatment, 38 cases were discharged in 2 cases, 7 cases were discharged in 9 cases and 15 cases were discharged in 7 cases. Stone discharge rate of 82%. Macroscopic 16 cases, the size of the stone is about 0.1 ~ 0.6cm10 cases, 0.6 ~ 0.9cm6 cases. Smooth stones in 8 cases, 4 cases of rough surface. One case was 5 pieces of rice grain size, and 3 cases were self-described as the size of sorghum rice. 4 cases were invalid ureter stones at the bottom. Sixty-three patients were relieved of pain at 30 minutes after treatment, and 41 cases disappeared after 60 minutes