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目的:提高对肾内少见、细小病灶出血的诊治水平。方法:收集1981～2000年肾性血尿8例,报告诊断和治疗经过。结 果:肾内少见出血病变有:肾紫斑病,肾门区血管扩张、出血,肾盏小血管病,慢性出血性肾孟肾炎,肾后支动脉梗塞,肾下支动静脉 瘘,肾下极动脉畸形,肾炎症肉芽肿。结论:对此类血尿,强调急诊(或及时)检查,作全面及特殊(如DSA)诊查,仍可明确病变。目 前,高(或超)选择性肾血管造影的同时,可作介入治疗,是对多数病例的首选诊疗方法。
Objective: To improve the diagnosis and treatment of rare and small lesions in the kidney. Methods: Eight cases of renal hematuria were collected from 1981 to 2000, and the diagnosis and treatment were reported. Results: The rare renal bleeding lesions were: nephritis, dilated renal portal area, hemorrhage, small calyceal calyceal disease, chronic hemorrhagic nephritis, posterior branch of artery infarction, subrenal branch arteriovenous fistula, renal inferior pole Arterial malformation, renal inflammation granuloma. Conclusion: For such hematuria, emergency (or timely) examination is emphasized, and comprehensive and special (such as DSA) examination can still confirm the disease. At present, high (or super) selective renal angiography at the same time, can be used for interventional treatment, is the preferred method of diagnosis and treatment in most cases.