摘要:

SummaryIn a series of 223 patients with blunt renal injury, 40 patients underwent angiography. From this experience the following conclusions have been drawn:If a renal injury is suspected the IVP must be done as soon as possible. In most cases the diagnosis can be confirmed.Mild injuries should be managed conservatively and therefore need no angiography.In life endangering injury there is no time for angiography. The operation should be done preferably by a transperitoneal approach to allow good control of the renal pedicle.Patients with severe injuries should undergo angiography. If there is no function on the IVP, angiography should be done immediately to diagnose possible arterial thrombosis. In most cases angiography can be carried out some days after the trauma. This investigation provides an exact diagnosis and helps in deciding about further treatment.If a major part of the kidney has no blood supply, or there is a rupture with a large perirenal extravasation of urine, we recommend conservative surgery to avoid early and late complications. All operations should be done some days after the trauma.All patients with renal injuries, either operated or conservatively managed, should be carefully followed up.Angiography should be done in all cases of post‐traumatic hypertensio

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1975.tb04047.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

SummaryThe reasons for the initiation and the basic structure of the Bristol Pyelonephritis Registry have been discussed.The detailed follow‐up data on those patients clinically at “renal risk” has been noted, with a demonstrably low incidence of proven bacterial infection, no radiological progression and minimal interference with pregnancy.Satisfactory and reassuring information has thus accrued for the first time in a particular group of patients with often severe recurrent sym

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1975.tb04048.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

SummaryFrom the basis of an examination of the literature, and on a personal exerience of the surgical treatment of 100 cases of calculus disease, the suggestion is made that 2 distinct mechanisms of calculogenesis should be recognised. Calculi of metabolic origin should be considered as having an entirely distinct aetiological mechanism. Phosphatic calculi are apparently determined by the existence of urinary tract infection. Partial nephrectomy does not seem indicated for either type of disease.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1975.tb04049.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

SummaryUromucoid excretion was measured in 49 normal subjects and 79 patients with stones.The results showed no significant differences in the uromucoid excretion rate between these 2 groups; there was no simple quantitative relationship between uromucoid excretion rate and the genesis of stones.It is suggested that uromucoid may be concerned in a protective function of tubular epithelium and also in the transport of electrolytes and hydrogen ions.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1975.tb04050.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

Summary152 children with urinary calculi were treated in the United Kingdom and Eire in the years 1972 and 1973.There was a marked male preponderance particularly evident in early life.In 124 children the urine was infected on admission to hospital; in 87, particularly the younger children, this was with theProteusspecies. Awareness of the relationship betweenProteusurinary infection and matrix calculi is stressed.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1975.tb04051.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

SummaryIn a series of 120 patients with renal stones 60% were found to have a treatable metabolic abnormality. Idiopathic hypercalciuria and the incomplete form of renal tubular acidosis were the two most common abnormalities. Both conditions in the untreated form were associated with an unacceptably high stone recurrence rate and incidence of change. In view of this, follow‐up is considered essential and if medical treatment is to be offered this should be in the form of a controlled clinical tria

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1975.tb04052.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

SummaryIn 10 kidneys treated by the sinus approach the overall recurrence rate was 40%.In 48 kidneys treated by pyelocalycotomy the overall recurrence rate was 17% but only 6% in functioning kidneys with infective stones.Infection was controlled in 75 % of patients from whom all stone fragments were removed radiologically but all patients in whom fragments remained, or who developed further calculi, remained infected—withProteusin 75 % of cases.All patients with kidneys completely cleared of calculi in whom infection was controlled remained stone‐free for periods of up to 10 ye

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1975.tb04053.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

SummaryIn 416 patients with renal and ureteric calculi other than large staghorns we found that when it was possible to identify the calyx of origin of the stones, the lower poles were involved in 36·6% of males and 40·4% of females.In the follow up of the 115 lower poles originally containing stones the recurrence rate was 17 % in those who were merely observed, 56% in those treated by pyelo‐ or nephrolithotomy, and zero in those treated by partial nephrectomy. But when these cases were looked at more closely it was found that recurrences were virtually confined to lower poles which had originally harboured more than one stone, while in those with single stones to start with, the recurrence rate was not significantly different in either of these three groups.Partial nephrectomy should therefore be reserved for selected cases where the stones are originally multiple, or where the lower pole has been severely damaged. It is not necessary for small and single calyceal calc

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1975.tb04054.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

SummaryGammaglutamyl transpeptidase is an enzyme primarily located in the brush border of the proximal convoluted tubules of the kidney. Its unique localisation in the renal cells most easily damaged by ischaemia and its ease of assay provides the rationale for its use in the measurement of renal ischaemic injury.Using a standard experimental animal model, canine urinary γ‐GT activity was shown to be increased up to 70‐fold following 90 min of unilateral renal ischaemia and was significantly raised following only 5 min ischaemia. The urinary γ‐GT was used as a measure of ischaemic injury associated with renal transplantation in man and 20 consecutive patients undergoing kidney transplant were studied by daily 24‐hour urinary γ‐GT estimations and excellent correlation was obtained between raised enzyme activity and the clinical diagnosis of transpla

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1975.tb04055.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

SummaryA series of 40 studies have been used to assess whether or not there is obstruction in the pelviureteric region in 27 kidneys. The perfusion test which is discussed has provided an answer in all cases where the technique was possible and allowed a logical decision to be taken concerning management.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1975.tb04056.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY