患者男,54岁,于1977年5月15日因直肠癌在硬膜外麻下行经腹、会阴、直肠癌切除术,为避免输尿管损伤,术前先通过膀胱镜行双侧输尿管插管术,插管后未见尿液。术后4小时后自觉腹胀,有尿意,但不能自行排尿,故留置导尿,仅导出10毫升血性液,此后一直无尿。以20％甘露醇100毫升静脉注入,速尿40毫克肌肉注射,术后12小时仍无尿,后按反射性 Male, 54 years old, on May 15, 1977 due to rectal cancer under epidural anesthesia for perineal, perineal, rectal cancer resection, in order to avoid ureteral injury, preoperative cystoscopy through bilateral ureteral intubation , No urine after intubation. 4 hours after surgery conscious abdominal distension, urinary intention, but can not urinate on their own, so indwelling catheterization, only the export of 10 ml of bloody fluid, has been anuria since. 100% intravenous injection of 20% mannitol, furosemide 40 mg intramuscularly, 12 hours after the still no urine, according to the reflectivity