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病例:男,49岁。围被树枝砸伤右腰部2小时余,腰痛伴肉眼血尿来院就诊。查体:痛苦病容,轻度贫血貌。右侧腰背部皮肤擦伤,触痛,右肾区叩击痛明显。血红蛋白100g/L,尿液镜检:红细胞满视野。即行持续导尿,尿液为血性。观察4～5小时后血尿无好转趋势。拟诊右肾破裂,剖腹探查术中见腹腔无积血,右侧腹膜后呈紫蓝色,打开后腹膜见右肾下极近肾门处有横行裂伤长约4cm,深达肾盏,行右肾切除。术后24小时无尿,B超检查发现左肾缺如。于术后14天死于尿毒症。
Case: Male, 49 years old. Broken around the branches around the right lower back more than 2 hours, low back pain with gross hematuria came to the hospital. Examination: painful illness, mild anemia appearance. Right lower back skin abrasions, tenderness, right kidney percussion pain was obvious. Hemoglobin 100g / L, urine microscopy: full of red blood cells. The line continued catheterization, urine is bloody. 4 to 5 hours after hematuria observed no improvement trend. The diagnosis of right renal rupture, laparotomy see intraperitoneal hemorrhage, the right retroperitoneal purple blue, open the retroperitoneal see the right renal subrenal stricture rupture about 4cm, deep calyx, Right nephrectomy. 24 hours after anuria, B-ultrasound found that the absence of left kidney. She died of uremia 14 days after surgery.