患者男,5岁,术前考虑右肾肿瘤破裂出血,手术探查。术中见腹腔内有血性渗出液约500ml,肠系膜淋巴结多个肿大。右侧后腹膜隆起,按之囊性感,上下径20cm,左右径12cm打开右结肠侧后腹膜,清除大量血凝块,见肾下极有一拳头大包块,与腹膜、肠系膜、及胰腺广泛粘连,肿瘤表面凸凹不平,四周淋巴结肿大,有的融合成片,考虑右肾肿瘤破裂出血。当时由 Male patient, 5 years old, considering the right kidney tumor rupture before surgery, surgical exploration. During the operation, about 500 ml of bloody exudate was found in the abdominal cavity, and several mesenteric lymph nodes were swollen. Right posterior peritoneum bulge, according to the capsule sexy, upper and lower diameter 20cm, left and right diameter 12cm open the right colon side of the retroperitoneum, clear a large number of blood clots, see the kidney has a fist large mass, and peritoneum, mesentery, and pancreas extensive adhesions The surface of the tumor is uneven, surrounded by enlarged lymph nodes, and some of them are fused into one, taking into account the rupture of the right kidney tumor. At that time,