Richards W O, Scovill W, Shin B, Reed W
Ann Surg. 1983 Feb;197(2):183-7. doi: 10.1097/00000658-198302000-00010.
Anuric renal failure developed in four patients in association with increased intra-abdominal pressure from postoperative hemorrhage. Polyuria and resolution of the renal failure occurred in each patient in response to operative decompression of the abdomen. Renal failure secondary to increased intra-abdominal pressure has been previously produced experimentally in dogs by the intraperitoneal installation of graded amounts of saline. This is the first report of this type of renal failure in clinical practice.
4例患者因术后出血导致腹腔内压力升高,继而出现无尿性肾衰竭。对每例患者进行腹部手术减压后,均出现多尿且肾衰竭症状缓解。先前通过向犬腹腔内注入不同量生理盐水的实验,已引发腹腔内压力升高继发的肾衰竭。本文是关于此类肾衰竭在临床实践中的首例报道。