Minor medical error may cause to significant complications

Seyed Seifollah Beladi Mousavi; Fatemeh Hayati

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Minor medical error may cause to significant complications

机译：较小的医疗错误可能会导致严重的并发症

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Controlandcorrectrecordationoffluidintakeandurinaryoutputisasimplebutanimportantmeasureinthemanagementandtreatmentofpatientswithacuterenalfailure(ARF)andnon-correctrecordationofurinaryoutputbynursemaycausetosignificantcomplicationsamongthesepatients.Thepatientwasa28-yaer-oldwomanwithseverepreeclampsiaat31weeksofgestationwhodevelopedARFandanuriaafterhysterectomyduringemergencycesareansection.ComputedtomographyandSerialultrasonographyofkidneysandurinarytractin2,4,8,and12dayaftercesareansectionrevealedonlymildhydronephrosis.Although,thepatienthasnotbeenanyurinaryoutput,butunfortunatelytherecodedurinaryoutputbynurseswas300-350ml/dayduetourinarybaghasnotbeenemptedintheendofeachday.WethoughtthatARFisduetoacutetubularnecrosisbecauseofseverebleedingduringsurgeryandhydronephrosisissecondarytorecentpregnancy.Afterfifteendays,itwasrevealedthatthepatienthadanuriaduringthisperiodandthereforeourdiagnosiswaschangedtobilateralureteralligationduringhysterectomyandrenalfunctionimprovedaftercorrectionofureteralobstruction

机译：Controlandcorrectrecordationoffluidintakeandurinaryoutputisasimplebutanimportantmeasureinthemanagementandtreatmentofpatientswithacuterenalfailure（ARF）andnon-correctrecordationofurinaryoutputbynursemaycausetosignificantcomplicationsamongthesepatients.Thepatientwasa28-亚尔-oldwomanwithseverepreeclampsiaat31weeksofgestationwhodevelopedARFandanuriaafterhysterectomyduringemergencycesareansection.ComputedtomographyandSerialultrasonographyofkidneysandurinarytractin2,4,8，and12dayaftercesareansectionrevealedonlymildhydronephrosis.Although，thepatienthasnotbeenanyurinaryoutput，butunfortunatelytherecodedurinaryoutputbynurseswas300-350ml / dayduetourinarybaghasnotbeenemptedintheendofeachday.WethoughtthatARFisduetoacutetubularnecrosisbecauseofseverebleedingduringsurgeryandhydronephrosisissecondarytorecentpregnancy.Afterfifteendays，itwasrevealedthatthepatienthadanuriaduringthisperiodandthereforeourdiagnosiswaschangedtobilateralureteralligationduringhysterectomyandrenalfunctionimprovedaftercorrectionofu视网膜梗阻

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《Jundishapur Scientific Medical Journal 》 |2013年第1期| 共页
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Seyed Seifollah Beladi Mousavi; Fatemeh Hayati;
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Minor medical error may cause to significant complications

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