报告19例自发性肾破裂，其中2树先后两次破裂．有1例因失血性休克而死亡。认为肾血管平滑肌脂肪瘤是该疾病的最常见原因，CT和B超扫描最具有诊断价值．处理方法应根据具体病因而选择，不主张盲目探查。 Nineteen cases of spontaneous renal rupture were reported, of which two had been ruptured twice. One patient died of hemorrhagic shock. Renal angiomyolipoma is considered to be the most common cause of the disease and CT and B-scan have the most diagnostic value. Treatment should be based on the specific cause of choice, do not advocate blind exploration.