Makita Y, Tanaka H, Eguchi T, Onoyama K, Fujishima M
Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Int Urol Nephrol. 1993;25(1):105-9. doi: 10.1007/BF02552262.
The incidence of spontaneous bleeding in various parts of the body has been reported to be high in patients receiving maintenance haemodialysis. We present a case of spontaneous large haematoma of the intra-abdominal wall which developed in a 71-year-old Japanese man with 9 years' maintenance haemodialysis. Due to the clinical symptoms and signs, ileus was suspected and an emergency operation was performed. In maintenance haemodialysis the possibility of spontaneous bleeding should always be considered whenever unexplained and unexpected symptoms and signs are apparent.
据报道，接受维持性血液透析的患者身体各部位自发性出血的发生率较高。我们报告一例71岁日本男性患者，其在接受9年维持性血液透析后出现自发性腹壁大血肿。由于临床症状和体征，怀疑有肠梗阻并进行了急诊手术。在维持性血液透析中，每当出现无法解释和意外的症状和体征时，应始终考虑自发性出血的可能性。
