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特发性肾出血为一种原因不明的疾病,临床上较为罕见,其表现除肉眼血尿外很少有其它症状.患者,女性,53岁.因无痛性血尿3h入院,发病前无明显诱因,既往有反复血尿史20年余,出血量大,经抗感染止血等保守治疗无明显疗效.体检无特殊发现,出凝血时间、血小板、肝功能、血电解质及非蛋白氮均为正常,肾盂造影逆行造影显示:右肾不显影、左肾正常.拟血尿待查,行右肾探查切除术.病理检查:右肾标本,10cm×6cm×3cm,有散在瘀点、瘀斑,切面皮髓质结构
Idiopathic renal hemorrhage is an unexplained disease, clinically rare, its performance in addition to gross hematuria rarely other symptoms .Patients, women, aged 53. Because of painless hematuria 3h admission, before the onset of no obvious incentive , There was a history of repeated hematuria more than 20 years, a large amount of bleeding, the anti-infective hemostasis and other conservative treatment no significant effect.No special physical examination, the clotting time, platelets, liver function, blood electrolytes and non-protein nitrogen are normal, Contrast imaging angiography showed: the right kidney is not developing, the left kidney is normal. To be hematuria to be checked, right kidney exploration and excision .Pathological examination: Right kidney specimens, 10cm × 6cm × 3cm, scattered petechia, ecchymosis, cutaneous pulp Quality structure