Proesmans W, Marchal G, Snoeck L, Snoeys R
Clin Nephrol. 1982 Nov;18(5):257-62.
Ultrasonography has been used to assess renal bleeding after percutaneous renal biopsy in 57 infants and children. A perirenal hematoma was found in 10 patients i.e. an incidence of 16 per cent. An additional patient with heavy hematuria and temporary obstruction of the pelvis due to clot formation had an enlarged kidney and pelvicalyceal dilatation on ultrasound examination. We did not find a correlation between the clinical findings, the fall in hematocrit and the presence of a hematoma. Ultrasound can be regarded as the method of choice for monitoring renal bleeding in children who have undergone kidney biopsy.
超声检查已用于评估57例婴幼儿经皮肾活检后的肾出血情况。10例患者发现肾周血肿,即发生率为16%。另有1例因血块形成导致严重血尿和肾盂暂时梗阻的患者,超声检查显示肾脏增大和肾盂肾盏扩张。我们未发现临床症状、血细胞比容下降与血肿存在之间的相关性。超声检查可被视为监测接受肾活检儿童肾出血情况的首选方法。