| 自发性肾破裂的临床诊治分析 |
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| 引用本文： | 葛南,孙文东,许纯孝,张怀强,宋鸿彬,孟彦. 自发性肾破裂的临床诊治分析[J]. 山东大学学报(医学版), 2006, 44(1): 82-85 |
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| 作者姓名： | 葛南 孙文东 许纯孝 张怀强 宋鸿彬 孟彦 |
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| 作者单位： | 山东大学第二医院泌尿外科,山东,济南,250033 |
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| 摘 要： | 目的：探讨自发性肾破裂的病因、临床诊断及治疗.方法：回顾分析5例患者临床资料,结合文献进行讨论.结果：4例患者急性发病,B超及CT证实有肾周出血,同时发现肾脏肿瘤,肿瘤内可见脂肪密度,最终行开放手术治疗.1例症状不典型,辅助检查证实左肾被膜下积液,逆行造影检查见左侧肾盂中上盏处有少量造影剂溢出,行患肾双J管置入术,4周后复查被膜下积液完全吸收.结论：肾血管平滑肌脂肪瘤是引起自发性肾破裂最常见的病因,B超及CT有重要的诊断价值,其治疗主要根据原发病的诊断及出血情况.
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| 关 键 词： | 肾破裂 自发性 出血 |
| 文章编号： | 1671-7554（2006）01-0082-04 |
| 收稿时间： | 2005-04-06 |
| 修稿时间： | 2005-04-06 |
Clinical diagnosis and management of spontaneous kidney rupture |
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| GE Nan,SUN Wen-dong,XU Chun-xiao,ZHANG Huai-qiang,SONG Hong-bin,MENG Yan. Clinical diagnosis and management of spontaneous kidney rupture[J]. Journal of Shandong University:Health Sciences, 2006, 44(1): 82-85 |
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| Authors: | GE Nan SUN Wen-dong XU Chun-xiao ZHANG Huai-qiang SONG Hong-bin MENG Yan |
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| Affiliation: | Department of Urology, Second Hospital of Shandong University, Jinan 250033, Shandong, China |
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| Abstract: | Objective: To investigate the cause,diagnosis and management in patients with spontaneous kidney rupture.Methods: The clinical data of 5 cases with spontaneous kidney rupture were retrospectively analyzed.Results: B-ultrasonography and CT scanning showed perirenal hemorrhage and tumor in the kidney in 4 cases,of whom 2 underwent open surgery,and showed subcapsular hematoma in 1 case who was performed cystoscopy and retro urography which showed extravasation of contrast medium in subcapsular regions,suggesting pelvicalyceal rupture,and was inserted a double-J stent.Conclusion: Angiomyolipoma of kidney is the main cause for spontaneous kidney rupture.B-ultrasonography and CT scanning have important value for diagnosis.The management depends on the diagnosis of original diseases and the condition of bleeding. |
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| Keywords: | Kidney rupture Spontaneous Hemorrhage |
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