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作者分析了6例肾疾病晚期自发性被膜下或肾周出血的临床、CT和病理表现。男3例,女3例,年龄28-51岁。所有病例均用10mm连续层面行增强前后扫描。1例已行肾移植,1例为肾衰竭保守治疗,4例发生在肝素化后血液透析者,出血前平均透析时间3.8年,出血发生于末次透析后5-16小时,平均10小时。在7个出血灶中,CT显示1个被膜下、4个肾周和2个被膜下肾周混合出血灶。2例除了肾功能丧失以外,肾本身CT表现正常。其中1例已成功的进行肾移植2年,血肿累及本体肾,而移植肾正常。5例CT发现获得性尿毒症性囊性肾病变,其中3例经长期血液透析,1例未经
The authors analyzed the clinical, CT and pathological features of 6 cases of advanced subfascial or perirenal hemorrhage with renal disease. 3 males and 3 females, aged 28-51 years. All cases were enhanced with 10mm continuous level before and after the line scan. One patient underwent renal transplantation and one received conservative treatment of renal failure. Four patients underwent hemodialysis after hemodialysis. The mean hemodialysis time was 3.8 years before bleeding. Bleeding occurred 5 to 16 hours after the last dialysis, averaging 10 hours. In 7 hemorrhagic foci, CT showed a sub-capsule, 4 perirenal and 2 subrenal perirenal mixed hemorrhage. In addition to renal function loss in 2 cases, the renal CT itself was normal. One of the cases had been successfully treated with renal transplantation for 2 years. The hematoma involved the ontological kidney, while the kidney graft was normal. Acquired uremic cystic nephropathy was found in 5 cases of CT, of which 3 were treated by long-term hemodialysis and 1 without