先天性孤立肾临床极为少见,尤其是由于外伤后切除孤立肾者更为罕见.本文报道1例因外伤后切除孤立肾引起无尿而死亡。患者,男,22岁,住院号121396.1983年9月12日在空中作业,不慎坠落.右腰部着地撞在铁器上,致右肾损伤,在某县医院切除右肾,术后即出现无尿,3天后转来我院.入院后体检:一般状况尚好,体温37.3℃,脉博90次/分,血压130/90mmHg.贫血貌,右肺呼吸音减弱.右侧上腹旁正中有手术创口。一周后出现腹肌紧张及轻度腹膜刺激症状.再次进行剖腹探查术,发现左肾缺如.至此,方确诊为右侧先天性孤立肾.术后进行血液透析7 Clinically isolated solitary neoplasms are extremely rare, especially since isolated solitary kidney after trauma is even more rare.We report 1 case of anuria caused by excision of isolated kidney after trauma. Patient, male, 22 years old, hospital number 121396. Operated in the air on September 12, 1983, accidentally crashed into the right waist hit the iron, resulting in damage to the right kidney in a county hospital excision of the right kidney, postoperative, there is no urine , 3 days after the transfer to our hospital after admission physical examination: the general condition is good, body temperature 37.3 ℃, pulse Bo 90 beats / min, blood pressure 130 / 90mmHg.Anemia appearance, the right lung breath sounds weakened right upper abdominal paralysis with a surgical wound . After a week of abdominal muscle tension and mild peritoneal irritation symptoms again exploratory laparotomy and found that the absence of the left kidney.To this end, the diagnosis of the right side of the isolated congenital kidney hemodialysis postoperative 7