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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.

DOI:10.1136/pgmj.59.687.57
PMID:6866877
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2417368/
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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb22/2417368/4d7620fab6aa/postmedj00131-0063-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb22/2417368/81d74879da07/postmedj00131-0063-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb22/2417368/4d7620fab6aa/postmedj00131-0063-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb22/2417368/81d74879da07/postmedj00131-0063-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb22/2417368/4d7620fab6aa/postmedj00131-0063-b.jpg

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本文引用的文献

1
Peritoneal and haemodialysis: a comparison of their morbidity, and of the mortality suffered by dialysed patients.腹膜透析和血液透析：透析患者发病率及死亡率的比较
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Uremic hemopericardium.
Am J Med. 1968 Sep;45(3):391-400. doi: 10.1016/0002-9343(68)90073-9.
3
Spontaneous retroperitoneal hematoma. A complication of hemodialysis.
JAMA. 1974 Nov 25;230(8):1164-5.
4
Fatal ovarian haemorrhage associated with haemodialysis.
与血液透析相关的致命性卵巢出血。
Br Med J. 1976 Dec 11;2(6049):1448-9. doi: 10.1136/bmj.2.6049.1448-c.
5
Bleeding in renal failure: a possible cause.肾衰竭中的出血：一个可能的原因。
Br Med J. 1976 Sep 11;2(6036):612-5. doi: 10.1136/bmj.2.6036.612.
6
Observations on the value and limitations of infusion pyelography in anuric patients.关于无尿患者静脉肾盂造影价值及局限性的观察
Urol Int. 1978;33(6):422-6. doi: 10.1159/000280231.
7
Spontaneous retroperitoneal hemorrhage in chronically hemodialyzed patients.长期血液透析患者的自发性腹膜后出血
Nephron. 1978;22(4-6):322-7. doi: 10.1159/000181470.
8
Spontaneous rupture of renal pelvis during postobstructive diuresis.梗阻后利尿期肾盂自发性破裂
Eur Urol. 1979;5(3):214-5. doi: 10.1159/000473110.