摘要
目的比较非手术治疗乳糜尿的方法。方法随机将63例乳糜尿患者分为泛影葡胺、硝酸银2组,分别应用以上2种药物进行肾盂灌注,比较2组患者的乳糜尿消失率、复发率和并发症发生情况。结果泛影葡胺组:乳糜尿消失率82.86%,复发率27.59%;硝酸银组:乳糜尿消失率78.57%,复发率23.81%。泛影葡胺组出现1例过敏性休克;硝酸银组术后有1例出现轻度溶血性黄疸,3例患侧肾结石。结论泛影葡胺疗效与硝酸银相当,可代替危险性较大的硝酸银灌注法,但有可能出现过敏反应。
Objective To evaluate the clinical effect of chyluria by flushing pelvis with meglumine diatrizoate and silver nitrate. Methods 63 cases of chyluria were randomly divided into 2 groups,received the treatment with these two different medicines,and then observed the rate of chyluria disappearance and recurrence and the incidence of complications.Results The disappearance rate of chyluria treated with meglumine diatrizoate and silver nitrate was 82.86% and 78.57%, accordingly,the recurrence rate was 27.59% and 23.81% .Allergic shock was observed only in 1 patient treated with meglumine diatrizoate. Complications were observed in patients treated with silver nitrate including light haemolyticus jaundice in 1 patient and kidney stone in 3 patients. Conclusion Therapeutic value of meglumine diatrizoate is comparable to silver nitrate and can take the place of later which is dangerer.
出处
《四川医学》
CAS
2009年第4期513-515,共3页
Sichuan Medical Journal
关键词
乳糜尿
泛影葡胺
硝酸银
chyluria
meglumine diatrizoate
silver nitrate