There is an old man, Mr. Ruili, who is 102 years old. He suffers from prostate hypertrophy and hypertension, but he has always been strong and can ride a bike at 100 years old. In the past month, Mr. Li Lao suffered from edema, high blood pressure and listlessness. The examination results showed that there was prostatic enlargement with urinary retention and bilateral renal edema, which led to acute renal failure, pulmonary edema and acidosis. I also found prostate cancer, and my condition is critical. Through the teamwork of urology, nephrology and geriatrics in the Affiliated Hospital of China Medical University, Rui Agong recovered smoothly.
Emergency hemodialysis in laser prostatectomy
Because renal failure is too serious, the renal function is only 2% of normal. After discussing with his family, the nephrologist in this hospital decided to help Mr. Li Lao with emergency hemodialysis. After the initial stabilization, urologist Dr. Huang Zhiping will perform laser resection of the prostate. After operation, Mr. Li Lao recovered his renal function and stopped renal dialysis, but his physical function was weak. The gerontology team took over functional rehabilitation and follow-up care.
A new generation of hormone therapy is currently stable.
Dr. Huang Zhiping, from the Department of Urology, Affiliated Hospital of China Renmin University, said that urinary tract obstruction caused by prostatic hypertrophy or prostate cancer often leads to acute urinary retention, which is potentially fatal to patients with chronic renal insufficiency or heart failure, especially elderly patients. Because the man was known to have a high prostate specific antigen index PSA before operation, the pathological section report after operation showed prostate cancer, and he had to receive a new generation of hormone therapy regularly after operation. At present, his condition is stable, and the cancer index PSA remains at a very low level.
Urinary tract obstruction can stop dialysis when renal function is restored.
Dr Ye, from the Department of Nephrology, Affiliated Hospital of China Renmin University, said that urinary tract obstruction is one of the common causes of renal failure. If it can be found and treated early, there is still the possibility of recovery of renal failure. In this case, the purpose of emergency hemodialysis is to stabilize the physiological condition and let grandpa receive the next surgical treatment. Dialysis can be stopped after the urinary tract obstruction is cleared and the renal function is restored.
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