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经皮肾活检的并发症

Complications of percutaneous renal biopsy.

作者信息

Prakash J, Singh M, Tripathi K, Rai U S

机构信息

Department of Nephrology, Indira Gandhi Institute of Medical Sciences, Patna.

出版信息

J Indian Med Assoc. 1994 Dec;92(12):395-6.

PMID:7876577
Abstract

Three hundred twenty renal biopsies were done in 305 patients over a period of 5 years. Adequate tissue for pathologic diagnosis was obtained in about 79% of biopsy attempts. The overall morbidity of procedure was 6.8%. Haematuria in 11.8% cases was the commonest complication. Haematuria resolved spontaneously in 63.8% of patients within 4-12 hours. Hypotension due to blood loss occurred in 3 patients (0.98%) who required blood transfusion. Five patients (1.6%) developed perirenal haematoma. Urinary retention requiring single catheterisation was seen in 12 cases (3.9%). Perirenal abscess occurred in one case. Minor complications improving with symptomatic medication included vomiting, abdominal pain and vasovagal attack in 3.6%, 2.6% and 1.6% cases respectively.

摘要

在5年时间里,对305例患者进行了320次肾活检。在约79%的活检尝试中获得了足够用于病理诊断的组织。该操作的总体发病率为6.8%。11.8%的病例出现血尿,这是最常见的并发症。63.8%的患者血尿在4至12小时内自发缓解。3例患者(0.98%)因失血出现低血压,需要输血。5例患者(1.6%)发生肾周血肿。12例患者(3.9%)出现需要单次导尿的尿潴留。1例发生肾周脓肿。经对症治疗后好转的轻微并发症包括呕吐、腹痛和血管迷走神经发作,分别占3.6%、2.6%和1.6%的病例。

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