Ikeda I, Terao T, Nakagomi K, Masuda M, Hirokawa M
Department of Urology, Fujisawa City Hospital.
Hinyokika Kiyo. 1993 Feb;39(2):151-3.
A 42-year-old woman with gross hematuria, left flank pain and vomit after being hit on her back admitted to our hospital. She has been under treatment for idiopathic thrombocytopenic purpura (ITP) with prednisolone for these last 14 years. Computerized tomographic (CT) scan revealed moderate laceration, subcapsular hematoma and perirenal hematoma of the left kidney. We tried treating her conservatively. The main treatment was absolute rest for two weeks, increase in the prednisolone dose and prevention from infection. On the 3rd day, the platelet count dropped to 4,000/mm3, but transfusion of platelets was not done to provide for emergency. The platelet count increased gradually and returned to normal on the 8th day. We decreased the prednisolone dose according to the platelet count. After 5 weeks, microscopic hematuria disappeared. Her clinical course was uneventful and she was discharged after 7 weeks.
一名42岁女性，背部受撞击后出现肉眼血尿、左侧腰痛及呕吐，入住我院。在过去14年里，她一直在用泼尼松龙治疗特发性血小板减少性紫癜（ITP）。计算机断层扫描（CT）显示左肾中度裂伤、包膜下血肿和肾周血肿。我们尝试对她进行保守治疗。主要治疗方法是绝对卧床休息两周、增加泼尼松龙剂量并预防感染。第3天，血小板计数降至4000/mm³，但未进行血小板输注以备紧急情况。血小板计数逐渐上升，第8天恢复正常。我们根据血小板计数减少泼尼松龙剂量。5周后，镜下血尿消失。她的临床过程平稳，7周后出院。
