BMJ Best Practice
最后审核时间： 六月 2019
最近更新时间： 三月 2019

小结

定义

病史和查体

关键诊断因素

  • 急性重度胁腹痛
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其他诊断因素

  • 既往发生过肾结石
  • 恶心和呕吐
  • 尿频/尿急
  • 血尿
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危险因素

  • 高蛋白摄入
  • 高盐摄入
  • 白人血统
  • 男性
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诊断性检查

首要检查

  • 尿液分析
  • FBC 分类计数
  • 血清电解质、尿素和肌酐
  • 尿妊娠试验
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需要考虑的检查

  • 腹部平片 (KUB)
  • 肾脏超声
  • 静脉肾盂造影 (IVP)
  • 24 小时尿液监测
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治疗流程

推断

非妊娠急性肾绞痛

急性

确诊结石：无梗阻证据且非妊娠

确诊结石：存在梗阻证据且非妊娠

妊娠

疾病持续状态

非妊娠患者结石急性发作后

贡献者

作者 查看所有

Assistant Professor

Department of Urology

University of Texas Southwestern Medical Center

Dallas

TX

利益冲突披露
JA is a member of the Scientific Advisory Board for Boston Scientific. JA has received a research grant from the US National Institutes of Health to study strategies to reduce recurrence of nephrolithiasis and reduce stent-associated pain.

Associate Program Director

Associate Professor

University of Texas Southwestern Medical Center

Dallas

TX

利益冲突披露
NM has received a research grant from the US National Institutes of Health to study strategies to reduce recurrence of nephrolithiasis and reduce stent-associated pain.

Dr Jodi Antonelli and Dr Naim Maalouf would like to gratefully acknowledge Dr Brian Eisner, Dr Michael E. Lipkin, Dr Muhammad Iqbal, Dr Keith Xavier, and Dr Mantu Gupta, previous contributors to this monograph. BE has received fees for consulting from Boston Scientific, Olympus/Gyrus ACMI, PercSys, and The Ravine Group. MEL declares that he is a consultant for Boston Scientific Corporation. MI, KX, and MG declare that they have no competing interests.

同行评议专家 查看所有

Associate Professor

Department of Family Medicine

University of Texas Health Science Center

Tyler

TX

利益冲突披露
RT declares that he has no competing interests.

Associate Professor of Medicine

Division of Nephrology

University of California at San Francisco

CA

利益冲突披露
LF declares that she has no competing interests.

Assistant Professor

Chicago Medical School

Rosalind Franklin University

Lombard

IL

利益冲突披露
IM declares that he has no competing interests.

Consultant Urological Surgeon

Spire Manchester Hospital

Manchester

UK

利益冲突披露
NR declares no competing interests.

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