自发性肾包膜下和肾周出血（10例报告并文献复习）  

Spontaneous subcapsular and perirenal hemorrhage(report of 10 cases)

作　　者：胡勤勇[1] 陈赐龄[1] 王兆玉[1] 郭震华[1] 

机构地区：[1]苏州医学院附属第一医院泌尿外科,浙江宁波市鄞县人民医院泌尿外科,浙江医科大学宁波分校外科

出　　处：《中华泌尿外科杂志》1996年第2期79-81,共3页Chinese Journal of Urology

摘　　要：近年来诊治自发性肾包膜下和肾周出血患者１０例，其中腺癌４例，肾结石、ＳＬＥ肾炎，真性红细胞增多症、肾结核、门脉高压症及不明原因各１例。３例肾腺癌行根治性肾切除，４例行血肿引流加肾活检术，病理报告与术前诊断基本相符。保守治疗３例，其中１例初诊时病因未确定者１８个月后ＣＴ提示肾恶性肿瘤。认为ＣＴ是确定出血范围和检出病因最有价值的辅助检查，选择性动脉造影可以补充ＣＴ的不足，对病因未明者，宜做密切的薄层ＣＴ随访性检查，根治性肾切除应慎重。cases of spontaneous subcapsular and perirenal hemorrhage were reviewed.Renal adenoma was found in 4 of them and nephrolithiasis,SLE with nephritis,polycythemia vera,renal tuberculosis,portal hypertension in one each. Radical nephrectomy was undertaken in 3 with concomitant renal adeneearcinoma and surgical drainage with biopsy in another 4.Conservative treatment was adopted in 3,in one of them renal malignancy was noted 18 months after.CT scanning is the most valuable diagnostic procedure.In case the primary cause has not been clarified,close follow up with periodic CT scanning might be mandatory.

关 键 词：自发性 肾包膜下出血 肾周出血 出血 

分 类 号：R692.9[医药卫生—泌尿科学]