一名梗阻性尿路病患者在血液透析后发生致命性肾出血。
Fatal renal haemorrhage following haemodialysis in a patient with obstructive uropathy.
作者信息
Palaniswamy R, Singhal P C, Rao M S, Laimayum D S, Raghu K, Chary K S
出版信息
Postgrad Med J. 1983 Jan;59(687):57-9. doi: 10.1136/pgmj.59.687.57.
Abstract
A 22-year-old male with obstructive uropathy and renal failure was given pre-operative haemodialysis. He collapsed five hours later. Autopsy revealed massive intrarenal haemorrhage and rupture of a dilated superior calyx intraperitoneally. Anticoagulation employed during haemodialysis was probably responsible for this spontaneous renal haemorrhage and subsequent calyceal rupture.
摘要
一名患有梗阻性尿路病和肾衰竭的22岁男性在术前接受了血液透析。五小时后他突然晕倒。尸检发现肾内大量出血，扩张的上肾盏破裂并进入腹腔。血液透析期间使用的抗凝治疗可能是导致这种自发性肾出血及随后肾盏破裂的原因。
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