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title="攑֤§å­—体" onclick="changeSize('bigger');"><input type="button" value="-" title="¾~©å°å­—体" onclick="changeSize('smaller');"></span> </div> </div> <div id="newsnr"> <!--<$[正文]>begin--> <p style="text-align: left; line-height: 150%; text-indent: 2em;"><strong><span style="font-size:16px;line-height:150%;font-family:宋体">â€?/span></strong><strong><span style="font-size:16px;line-height:150%;font-family:宋体">åŒÈ”ŸåQŒæˆ‘妈妈昏过åŽÕd•¦åQŒå¿«¾l™çœ‹çœ‹ï¼â€?/span></strong><span style="font-size: 16px;line-height:150%;font-family:宋体">家住市区的陈阿婆被子奛_Œ†åŒ†å¿™å¿™é€è‡³åŒ»é™¢æ€¥è¯ŠæŠ¢æ•‘室ã€?/span></p><p style="text-align: left; line-height: 150%; text-indent: 2em;"><span style="font-size:16px;line-height:150%;font-family:宋体">急诊åŒÈ”Ÿ‹‚€æŸ¥æ—¶å‘现陈阿å©?strong><span style="color:#D50000">体温升高åQŒå…¨íw«å‘抖,血压下降,四肢冰冷åQŒç¥žå¿—模¾p?/span></strong>。予紧急输液吸氧等救治åQŒæ€¥è¯ŠCT‹‚€æŸ¥å‘现陈阿婆左肾盂输ž®¿ç®¡äº¤ç•Œå¤„有一é¢?strong><span style="color:#D50000">2cm</span><span style="color:#D50000">的结çŸ?/span></strong><span style="color:#434343">梗阻伴左肾明昄¡§¯æ°?/span>。于是泌ž®¿å¤–¿U‘紧急会诊予以留¾|®è¾“ž®¿ç®¡æ”¯æž¶å¼•æµå¤„理后收住ICU重症监护æ²È–—3天,陈阿婆æ€È®—转危为安ã€?月后择期予以输尿½Ž¡é•œ<strong><span style="color:#D50000">¼„ŽçŸ³å–石手术æ²È–—</span></strong>åQŒåŽ»é™¤äº†å¤šå¹´è…°ç—›æ„ŸæŸ“的病根子。后来询问得知陈阿婆有长期肾¾l“石及间歇腰痛病åÔŒ¼ŒåŽŸæ¥ž®å°çš„肾¾l“石竟然能引赯‚¿™ä¹ˆä¸¥é‡çš„病情以致生命危险ã€?/span></p><p style="text-align:left;line-height:150%"><span style="font-size:16px;line-height:150%;font-family:宋体"> </span></p><p style="text-align:left;line-height:150%"><strong><span style="font-size:16px;line-height:150%;font-family:宋体">¿U‘普旉™—´</span></strong></p><p style="text-align:left;text-indent:32px;line-height:150%"><strong><span style="font-size:16px;line-height:150%;font-family:宋体;color:#D50000">肄¡»“çŸ?/span></strong><span style="font-size: 16px;line-height:150%;font-family:宋体">是晶体物质(如钙、草酸、尿酸、胱氨酸½{‰ï¼‰åœ¨è‚¾è„çš„异常聚积所è‡ß_¼Œä¸ºæ³Œž®¿ç³»¾lŸçš„常见病、多发病。而肾¾l“石的症状取决于¾l“石的大ž®ã€åŞ状、所在部位和有无感染、梗é˜È­‰òq¶å‘症。单¾U¯è‚¾¾l“石的患者大多没有症çŠÓž¼Œé™¤éžè‚„¡»“石从肾脏掉落到输ž®¿ç®¡é€ æˆè¾“å°¿½Ž¡çš„ž®¿æ¶²æŽ’出é˜Õd¡žã€‚常见的<strong>症状有腰腚wƒ¨¾lžç—›ã€æ¶å¿ƒã€å‘•åã€çƒ¦íwä¸å®‰ã€è…¹èƒ€ã€è¡€ž®¿ç­‰</strong>。如果合òq¶å°¿è·¯æ„ŸæŸ“,也可能出现畏寒发热等现象åQ?strong>严重者可致感染性休å…?/strong>。前面的陈阿婆就是这¿Uå°¿è·¯æ„ŸæŸ“严重导致休克的情况。严重者会发生ž®¿æºæ€§è„“毒血症,多器官功能衰竭,不及时有效救æ²Õd¯¼è‡´æ­»äº¡ã€‚而更多的肄¡»“çŸÏx€¥è¯Šæ¥é™¢æ˜¯æ€¥æ€§è‚¾¾lžç—›åQŒè…°è…šwƒ¨½Hå‘疼痛隑ֿã€?/span></p><p style="text-align: center; line-height: 150%;"><span style="font-size:16px;line-height:150%;font-family:宋体"><img src="/rayyuploads/20221213/202212131559332330.jpg" title=""/></span></p><p style="line-height: 150%; text-align: center;"><span style="font-size:16px;line-height:150%;font-family:宋体"><img src="/rayyuploads/20221213/202212131559396082.jpg" title=""/> </span></p><p style="text-align:left;line-height:150%"><strong><span style="font-size:16px;line-height:150%;font-family:宋体">肄¡»“矛_‘病率较高åQŒé‚£ä¹ˆè¯¥å¦‚何预防肄¡»“石的形成呢?</span></strong></p><p style="text-align: left; line-height: 150%; text-indent: 2em;"><strong><span style="font-size:16px;line-height:150%;font-family:宋体">1. </span></strong><strong><span style="font-size:16px;line-height:150%;font-family:宋体">多喝æ°?/span></strong><span style="font-size:16px;line-height:150%;font-family:宋体">åQŒå¢žåŠ æ¯æ—¥é¥®æ°´é‡ä¼šç¨€é‡Šå°¿æ¶²ä¸­å¯ÆD‡´¾l“石形成的物质浓度。同时可以增加尿‹¹é‡å’Œå°¿é‡æ¥é˜²æ­¢¾l“石的åŞ成。多饮水åQŒå‹¤æŽ’å°¿åQŒä¿æŒæ¯æ—?L以上的尿量äؓ宜。研½I¶è¡¨æ˜Žï¼Œ¼„±æ€§æ°´èƒ½æé«˜å°¿çš„PHå€û|¼Œæœ‰æ•ˆé¢„防¾l“石ã€?/span></p><p style="text-align: left; line-height: 150%; text-indent: 2em;"><strong><span style="font-size:16px;line-height:150%;font-family:宋体">2. </span></strong><strong><span style="font-size:16px;line-height:150%;font-family:宋体">合理饮食</span></strong><span style="font-size:16px;line-height:150%;font-family:宋体">åQŒå¤šåƒæ–°é²œçš„水果蔬菜åQŒä½†è¦å°‘吃富含草酸的食物åQŒå¦‚豆类、香菜、菠菜、茶叶、韭菜以及竹½W‹ç­‰ã€‚高钠摄入可减少肑ְ½Ž¡å¯¹é’™çš„重吸收、导致水潴留和脱水ã€?/span></p><p style="text-align: left; line-height: 150%; text-indent: 2em;"><strong><span style="font-size:16px;line-height:150%;font-family:宋体">3. </span></strong><strong><span style="font-size:16px;line-height:150%;font-family:宋体">改变不良的饮食习æƒ?/span></strong><span style="font-size:16px;line-height:150%;font-family:宋体">åQŒä½Žç›ï¼Œä½Žè„‚åQŒé€‚当增加水果蔬菜的摄入ã€?/span></p><p style="text-align: left; line-height: 150%; text-indent: 2em;"><strong><span style="font-size:16px;line-height:150%;font-family:宋体">4. </span></strong><strong><span style="font-size:16px;line-height:150%;font-family:宋体">适当增加˜qåŠ¨åQŒé¿å…ä¹…坐不动ã€?/span></strong><span style="font-size:16px;line-height:150%;font-family:宋体">同时肥胖会增加肾¾l“石的风险。肥胖症患肾¾l“石者容易出现高ž®‰K…¸è¡€ç—‡ã€ç—›é£Žã€é«˜ž®‰K…¸ž®¿å’Œž®‰K…¸¾l“石ã€?/span></p><p style="text-align: left; line-height: 150%; text-indent: 2em;"><strong><span style="font-size:16px;line-height:150%;font-family:宋体">5. </span></strong><span style="font-size:16px;line-height:150%;font-family:宋体">如果既往有结石病åÔŒ¼Œéœ€è¦æ˜Ž¼‹®ä¸ªä½“结çŸÏxˆåˆ†ï¼Œå¯æ ¹æ®æˆåˆ†åˆ†æž?strong>制定有效预防措施</strong>åQ?/span></p><p style="text-align:left;text-indent:36px;line-height:150%"><span style="font-size:16px;line-height:150%;font-family:宋体">比如草酸钙结çŸÏx‚£è€…应该少吃菠菜、欧芏V€èŠ±ç”Ÿå’Œ¾U¢èŒ¶½{‰ï¼›ž®‰K…¸¾l“石患者应ž®‘吃动物内脏、æ“v鲜,限制高蛋白食物,ž®‘喝啤酒åQ›ç£·é…”R’™æˆ–磷酸盐¾cȝ»“çŸÏx‚£è€…则应少吃蛋黄、豆¾cÕdŠå¥¶ç±»ã€?/span></p><p style="text-align: left; line-height: 150%; text-indent: 2em;"><strong><span style="font-size:16px;line-height:150%;font-family:宋体">6. </span></strong><strong><span style="font-size:16px;line-height:150%;font-family:宋体">æ²È–—原发ç—?/span></strong><span style="font-size:16px;line-height:150%;font-family:宋体">åQŒé’ˆå¯¹åŽŸå‘病的治疗很重要åQŒæ¯”如原发性甲旁亢、高ž®‰K…¸è¡€ç—‡ç­‰å®ÒŽ˜“引发肄¡»“石的疄¡—…。应用药物可以预防结矛_¤å‘,如别嘌醇预防ž®‰K…¸¾l“石复发åQŒè¡¥å……枸Š™¼é…¸ç›å’Œé•å‰‚预防草酸钙结矛_¤å‘。同æ—Óž¼Œé¿å…ž®¿èµ\感染和及时治疗感染也很重要。部分久æ²ÖM¸æ„ˆçš„è‚„¡›‚感染也可引è“v肄¡»“矟ë€?/span></p><p style="text-align: left; line-height: 150%; text-indent: 2em;"><strong><span style="font-size:16px;line-height:150%;font-family:宋体">7. </span></strong><strong><span style="font-size:16px;line-height:150%;font-family:宋体">定期体检åQ?/span></strong><span style="font-size:16px;line-height:150%;font-family:宋体">特别是有¾l“石病史的äh要每半年臛_°‘体检一‹Æ¡ï¼Œä»¥åŠæ—¶å‘现结石的形成åQŒæ—©æœŸæœç”¨è¯ç‰©æŽ’出。有很多患者手术取矛_ŽåQŒè®¤ä¸ºå°±ä¸‡äº‹å¤§å‰ä¸å†ä½“检åQŒç­‰è‚„¡»žç—›å‘生的时候才发现肄¡»“矛_·²¾lå¾ˆå¤§äº†åQŒä¸å¾—不再次手术。手术取矛_Žæ›´åº”该积极复查,因äؓ之前¾l“石所在部位及手术部位瘢痕形成更容易有ž®¿æ¶²æ·¤ç§¯å†æ¬¡å½¢æˆ¾l“石ã€?/span></p><p style="text-align:left;line-height:150%"><span style="font-size:16px;line-height:150%;font-family:宋体"> </span></p><p style="text-align:left;text-indent:36px;line-height:150%"><span style="font-size:16px;line-height:150%;font-family:宋体">良好的生‹zÖM¹ æƒ¯å¯ä»¥æ˜¾è‘—预防肾¾l“石的åŞ成。但若仍不幸形成¾l“石åQŒå¯æ¥é™¢å¯ÀL±‚<strong><span style="color:#D50000">专业</span></strong>的治疗。目前成熟的æ²È–—æ–ÒŽ¡ˆåŒ…括<strong>药物排石、体外冲å‡ÀL‡L¼„ŽçŸ³åQŒä½é™¢å¾®åˆ›æ‰‹æœ¯æ²»ç–?/strong>。瑞安市人民医院<strong><span style="color:#D50000">泌尿¾l“石æ²È–—中心</span></strong>åQŒæ˜¯æ³Œå°¿¾l“石患者的极佳选择ã€?/span></p><p style="text-align:left;text-indent:36px;line-height:150%"><span style="font-size:16px;line-height:150%;font-family:宋体">首先我院æœ?strong><span style="color:#D50000">国内最大规æ¨?/span></strong>的体外碎石中心,拥有<strong><span style="color:#D50000">3</span><span style="color:#D50000">åîC¸–界先˜q›çš„德国多尼ž®”碎çŸÏxœº</span></strong>åQ?strong>每年服务泌尿¾l“石患者高è¾?千余人次</strong>ã€?022òq?æœ?strong><span style="color:#D50000">最æ–îC¸€ä»£å¤šž®¼å°”Detla II一体式¼„ŽçŸ³æœ?/span></strong>开æœÞZ‹É用,再次巩固了我院国内体外碎çŸÏx²»ç–—领先地位ã€?/span></p><p style="text-align: center; line-height: 150%;"><span style="font-size:16px;line-height:150%;font-family:宋体"> <img src="/rayyuploads/20221213/202212131600215155.png" title=""/></span></p><p style="text-align: center; line-height: 150%;"><span style="font-size:16px;line-height:150%;font-family:宋体">åQˆå¯d国多ž®¼å°”体外¼„ŽçŸ³æœºï¼‰</span></p><p style="text-align:left;text-indent:36px;line-height:150%"><span style="font-size:16px;line-height:150%;font-family:宋体">体外¼„ŽçŸ³¼›å¿Œæˆ–体外碎çŸÏx— æ³•æˆåŠŸæ²»ç–—的泌尿¾l“石患者,需要及旉™‡‡å–手术治疗,防止损害加重、肾功能不全发生ã€?0多年前我院就˜q›å…¥æ³Œå°¿¾l“石微创手术时代åQŒç›®å‰æ‹¥æœ‰ä­hå€?00余万<strong><span style="color:#D50000">世界先进的结çŸÏx‰‹æœ¯ä¸“用设å¤?/span></strong>åQŒå¦‚¾ŸŽå›½¿U‘医人激光,瑞士EMS¾l“石工作収ͼŒå¤šç§å›½é™…大牌è‚ùN•œã€è¾“ž®¿ç®¡é•œã€è…¹è…”镜器械ã€?strong>主要采用无手术创口经自然腔道的输ž®¿ç®¡é•œç¢ŽçŸÏxœ¯åQŒæ‚£ä¾§è…°éƒ?span style="color:#D50000">不到1厘米</span>创口的经皮肾镜取çŸÏxœ¯åQŒå’Œå¾®å°åˆ›å£çš„腹腔镜手术åQŒäؓ各种各样病情的结çŸÏx‚£è€…提供个体化微创æ²È–—æ–ÒŽ¡ˆ</strong>ã€?/span></p><p style="text-align: center; text-indent: 36px; line-height: 150%;"><span style="font-size:16px;line-height:150%;font-family:宋体"><img src="/rayyuploads/20221213/202212131601038916.jpg" title=""/></span></p><p style="text-align: center; line-height: 150%;"><span style="font-size:16px;line-height:150%;font-family:宋体"> <img src="/rayyuploads/20221213/202212131600410316.jpg" title=""/></span></p><p style="text-align: center; line-height: 150%;"><span style="font-size:16px;line-height:150%;font-family:宋体">åQˆè‚¾é•œã€è¾“ž®¿ç®¡é•œã€è†€èƒ±é•œ¼„ŽçŸ³æ‰‹æœ¯æ²È–—½Cºæ„å›¾ï¼‰</span></p><p style="text-align:left;text-indent:36px;line-height:150%"><span style="font-size:16px;line-height:150%;font-family:宋体">目前我院是温州地区唯一拥有两种<strong><span style="color:#D50000">国内最æ–?/span></strong>çš?strong><span style="color:#D50000">一‹Æ¡æ€§ç”µå­è¾“ž®¿ç®¡è‚„¡›‚软镜</span></strong>的三甲医院,普生Fr7.5是世界上最¾l†çš„输尿½Ž¡èÊY镜,为患者提供更安全舒适的手术æ²È–—选择ã€?/span></p><p style="text-align: center; line-height: 150%;"><span style="font-size:16px;line-height:150%;font-family:宋体"> <img src="/rayyuploads/20221213/202212131601162356.jpg" title=""/></span></p><p style="line-height: 150%; text-align: center;"><span style="font-size:16px;line-height:150%;font-family:宋体"><img src="/rayyuploads/20221213/202212131601255640.jpg" title=""/></span></p><p style="text-align:left;text-indent:36px;line-height:150%"><span style="font-size:16px;line-height:150%;font-family:宋体">另外åQŒæˆ‘院今òq´æ¸©å·žåœ°åŒºç‹¬å®¶å¼•˜q?strong><span style="color:#D50000">最æ–îC¸€ä»£è´ŸåŽ‹å¸å¼•èÊY镜鞘</span></strong>åQŒå¯ä»¥åœ¨æœ¯ä¸­ä¸æ–­å¸å‡º‹È€å…‰å‡»¼„ŽåŽå¾®å°¼„ŽçŸ³åQŒé©å‘½æ€§é™ä½Žè‚¾ç›‚内压,减轻å‡ø™¡€ã€æ„ŸæŸ“ç­‰òq¶å‘症,­‘…越国内大部分医院输ž®¿ç®¡é•œç¢ŽçŸÏx‰‹æœ¯åŽž®ç¢ŽçŸ³éœ€è¦æ‚£è€…自行缓慢排å‡ÞZ½“外的现状åQŒæ‹“展手术适应症,为巨大复杂肾输尿½Ž¡ç»“çŸÏx‚£è€…带来福韟ë€?/span></p><p style="text-align: center; line-height: 150%;"><span style="font-size:16px;line-height:150%;font-family:宋体"> <img src="/rayyuploads/20221213/202212131601346580.jpg" title=""/></span></p><p style="line-height: 150%; text-align: center;"><span 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