自发性肾包膜下血肿作为一名慢性血液透析患者低血容量性休克的病因

Spontaneous Subcapsular Renal Hematoma as Cause of Hypovolemic Shock in a Chronic Hemodialysis Patient.

作者信息

Bermudez-Gonzalez Jorge Luis, Rodríguez-Encinas Bethsabel, Beverido-Florido Ángel Miguel, Gabutti-Thomas Jesús Alejandro

机构信息

Graduate Studies Division, Medicine School, National Autonomous University of Mexico, Mexico City, Mexico.

Education Department, National Institute of Medical Sciences and Nutrition Salvador Zubiran, Mexico City, Mexico.

出版信息

Case Rep Radiol. 2023 Sep 11;2023:5570992. doi: 10.1155/2023/5570992. eCollection 2023.

DOI:10.1155/2023/5570992

PMID:37727639

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10506877/

Abstract

Subcapsular renal hematomas may appear spontaneously in patients in chronic hemodialysis, though other causes as neoplasms, vasculitis, and infections should be excluded. Patients may present with abdominal pain and hemorrhagic shock; hence, early diagnosis is vital. Nephrectomy or renal artery embolization are suitable treatment options.

摘要

慢性血液透析患者可能会自发出现肾包膜下血肿，不过应排除肿瘤、血管炎和感染等其他病因。患者可能会出现腹痛和失血性休克；因此，早期诊断至关重要。肾切除术或肾动脉栓塞术是合适的治疗选择。