【摘要】 目的 :提高自发性肾出血 (SRH)的诊治水平。方法 :对 14例自发性肾出血的诊疗临床资料进行回顾分析。结果 :12例经手术及病理检查证实 ,肾细胞癌出血 5例 ,肾错构瘤出血 5例 ,肾多发性囊肿出血 2例 ;肾损伤保守治疗一年后又出血 1例 ;特发性肾出血 1例。 12例术后随访 6个月～ 5年 ,2例保守治疗分别随访 6个月和 3年 ,均病情稳定。结论 :自发性肾出血易误诊 ,应尽早诊治 ,B超、CT、MRI和DSA对诊断有一定价值更多还原

【Abstract】 Purpose:To improve the level of the diagnosis and treatment of spontaneous renal hemorrhage (SRH).Methods:Clinical data of 14 SRH patients were analyzed retrospectively.Results:Among the 12 patients underwent operations and diagnosed by pathology, 5 cases were renal cell carcinoma, 5 were angiomyolipoma and 2 multiple renal cysts. One patient’s SRH occurred 1 year after renal injury and 1 patient had idiopathic SRH. All 12 patients were fine after follow-up period after operation from 6 months to 5 years , Two patients received conservative therapy were steady after 6 months to 3 years.Conclusions:SRH often be diagnosed falsely and early examination and treatment are needed. Ultrasound, CT, MRI and renal DSA are valuable for its diagnosis.更多还原