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获得性囊性肾病患者的自发性腹膜后出血

Spontaneous Retroperitoneal Hemorrhage in a Patient with Acquired Cystic Kidney Disease.

作者信息

Kotb Ahmed, Ismail Asmaa, Elmansy Hazem, Prowse Owen, Shahrour Walid

机构信息

Northern Ontario School of Medicine, Thunder Bay Regional Health Sciences Centre.

出版信息

J Kidney Cancer VHL. 2020 Apr 16;7(1):1-4. doi: 10.15586/jkcvhl.2020.123. eCollection 2020.

DOI:10.15586/jkcvhl.2020.123
PMID:32494565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7243931/
Abstract

Spontaneous retroperitoneal hemorrhage (SRH) is a rare emergency. It is usually encountered in patients on hemodialysis and is associated with high rate of morbidity and mortality. This is a case from the emergency department. The patient had unstable vitals with SRH following dialysis. Immediate exploration and nephrectomy using transverse lateral lumbotomy incision were done. Patients on hemodialysis are at a risk of SRH and frequent surveillance is recommended. Acquired cystic kidney disease (ACKD) can develop in hemodialysis patients and put them at risk for bleeding. Transverse lateral lumbotomy may be a safe option for direct access to the kidney in emergency kidney surgery.

摘要

自发性腹膜后出血（SRH）是一种罕见的急症。它通常见于接受血液透析的患者，且发病率和死亡率较高。这是一例来自急诊科的病例。该患者在透析后因SRH出现生命体征不稳定。立即采用经腰横外侧切口进行探查和肾切除术。接受血液透析的患者有发生SRH的风险，建议进行频繁监测。血液透析患者可发生获得性囊性肾病（ACKD），从而使其有出血风险。经腰横外侧切口在急诊肾脏手术中可能是直接进入肾脏的一种安全选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a866/7243931/84a5de00d537/JKCVHL-7-123-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a866/7243931/97671b1d9742/JKCVHL-7-123-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a866/7243931/84a5de00d537/JKCVHL-7-123-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a866/7243931/97671b1d9742/JKCVHL-7-123-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a866/7243931/84a5de00d537/JKCVHL-7-123-g002.jpg

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