最近审阅: 1 十一月 2020
最近更新: 12 九月 2018

小结

定义

病史和体格检查

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
  • 睾丸痛
  • 肥胖
  • 家族史
  • 促结石形成药物
  • 腹股沟痛
  • 发热
  • 心动过速
  • 低血压
  • 肋脊角和同侧腰部压痛

危险因素

  • 高蛋白摄入
  • 高盐摄入
  • 白人血统
  • 男性
  • 脱水
  • 肥胖
  • 晶体尿
  • 职业暴露导致的脱水
  • 温暖的气候
  • 家族史
  • 促结石形成药物

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
  • 非增强螺旋 CT 扫描
  • 结石分析
更多 首要检查

需考虑的检查

  • 腹部平片 (KUB)
  • 肾脏超声
  • 静脉肾盂造影 (IVP)
  • 24 小时尿液监测
  • 随机尿胱氨酸测试
更多 需考虑的检查

治疗流程

撰稿人

Assistant Professor

Department of Urology

University of Texas Southwestern Medical Center

Dallas

TX

利益声明

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

利益声明

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.

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Associate Professor

Department of Family Medicine

University of Texas Health Science Center

Tyler

TX

利益声明

RT declares that he has no competing interests.

Associate Professor of Medicine

Division of Nephrology

University of California at San Francisco

CA

利益声明

LF declares that she has no competing interests.

Assistant Professor

Chicago Medical School

Rosalind Franklin University

Lombard

IL

利益声明

IM declares that he has no competing interests.

Consultant Urological Surgeon

Spire Manchester Hospital

Manchester

UK

利益声明

NR declares no competing interests.

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