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分析1980~1994年间收治16例、18例次自发性肾破裂出血病例。其中肾血管平滑肌脂肪瘤12例次。72.2%以腰腹部疼痛伴呕吐为主要临床表现,本组病例行肾切除术3例,血肿清除引流术2例,动脉栓塞止血2例,其余11例保守观察治疗而出血停止。结果:获随访有14例,2例双侧肾血管平滑肌脂肪瘤均先后破裂出血,最终死亡,其余均存活。
Analysis of 16 cases from 1980 to 1994, 18 cases of spontaneous renal rupture of bleeding cases. Including renal angiomyolipoma in 12 cases. 72.2% had abdominal pain and vomiting as the main clinical manifestations. Nephrectomy was performed in 3 cases, hematoma removal and drainage in 2 cases, arterial embolization in 2 cases, and the remaining 11 cases were treated by conservative observation and bleeding stopped. Results: Fourteen patients were followed up. Two patients with bilateral renal angiomyolipoma both had rupture and eventually died, and the rest survived.