大量腹膜后出血的一个肾脏病因——肾血管平滑肌脂肪瘤。

A renal cause for massive retroperitoneal hemorrhage--renal angiomyolipoma.

作者信息

Beh W P, Barnhouse D H, Johnson S H, Marshall M, Price S E

出版信息

J Urol. 1976 Sep;116(3):372-4. doi: 10.1016/s0022-5347(17)58821-7.

Abstract

In any case of intra-abdominal trauma or hemorrhage a preoperative IVP is essential to determine the renal status. Preoperative catheter occlusion of the renal artery in these vascular tumors may be attempted to decrease blood loss. Stigmas of tuberous sclerosis should be sought in patients with vascular renal tumors, especially if they are bilateral. Conservation of renal tissue in tuberous sclerotic patients harboring renal angiomyolipomas is important.

摘要

在任何腹部创伤或出血的情况下，术前静脉肾盂造影对于确定肾脏状况至关重要。对于这些血管性肿瘤，术前可尝试对肾动脉进行导管闭塞以减少失血。对于患有肾血管性肿瘤的患者，尤其是双侧肿瘤患者，应寻找结节性硬化症的体征。对于患有肾血管平滑肌脂肪瘤的结节性硬化症患者，保留肾组织很重要。