Beccari M, Romagnoni M, Tagliaferri B, Sorgato G
Department of Nephrology and Dialysis, Fatebenefratelli and Oftalmico Hospital, Milan, Italy.
Ren Fail. 1996 Jan;18(1):147-50. doi: 10.3109/08860229609052785.
A 71-year-old woman with a solitary kidney who developed acute renal failure with anuria secondary to a spontaneous perirenal hematoma is described. Serum creatinine peaked at 335.9 micromol/L and BUN at 26.4 mmol/L, but neither surgery nor dialysis treatment was performed because renal function gradually improved. In this syndrome, first described by Wunderlich in 1856, anuria was not previously reported. Conservative management must always be considered rather than emergency surgery, which usually results in nephrectomy.
本文描述了一名71岁的单肾女性，因自发性肾周血肿继发急性肾衰竭并出现无尿。血清肌酐峰值为335.9微摩尔/升，尿素氮为26.4毫摩尔/升，但由于肾功能逐渐改善，未进行手术或透析治疗。在这种1856年由温德利希首次描述的综合征中，此前未曾报道过无尿的情况。必须始终考虑采取保守治疗而非急诊手术，急诊手术通常会导致肾切除术。
