自发性膀胱破裂致假性肾衰竭  

Pseudo-renal failure caused by spontaneous bladder rupture

作　　者：李喆 罗松 易晓明 王杨 许书添 李世军 LI Zhe;LUO Song;YI Xiaoming;WANG Yang;XU Shutian;LI Shijun(National Clinical Research Center for Kidney Diseases,Jinling Hospital,Nanjing 210016,China;Department of Medical Imaging,Jinling Hospital,Nanjing 210016,China;Department of Urology,Jinling Hospital,Nanjing 210016,China)

机构地区：[1]东部战区总医院国家肾脏疾病临床医学研究中心,南京210016 [2]东部战区总医院医学影像科,南京210016 [3]东部战区总医院泌尿外科,南京210016

出　　处：《肾脏病与透析肾移植杂志》2023年第5期496-500,共5页Chinese Journal of Nephrology,Dialysis & Transplantation

基　　金：东部战区总医院院内课题(22JCYYYB8)。

摘　　要：54岁男性患者,醉酒后次日清晨出现腹胀、肉眼血尿,血清肌酐(SCr)急剧上升,迅速进展至无尿,在当地医院接受血液透析治疗。期间持续腹胀、腹痛,大量腹水连续引流无缓解。在国家肾脏疾病临床医学研究中心查腹水SCr升高,行CT尿路造影发现膀胱前壁局部缺损,确诊自发性膀胱破裂和假性肾衰竭。留置导尿管后尿量恢复,SCr迅速降至正常。两周后复查膀胱破裂口愈合,拔除导尿管,完全康复。A 54-year-old male patient presented with abdominal distension,gross hematuria,and a sharp increase in serum creatinine after awake from a drunken sleep.He rapidly progressed to anuria and was treated with hemodialysis at a local hospital with persistent abdominal distension,abdominal pain,and massive ascites without relief.He was transferred to our hospital,and ascites examination revealed an increase in creatinine.CT urography revealed a local defect in the anterior wall of bladder,spontaneous bladder rupture and pseudo-renal failure were diagnosed.Urination recovered after indwelling a foley catheter,and serum creatinine rapidly decreased to normal.Two weeks later,he was reexamined for healing of the bladder rupture,removal of the catheter,and complete recovery.

关 键 词：自发性膀胱破裂 假性肾衰竭 

分 类 号：R694[医药卫生—泌尿科学]