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报告移植肾实质自发性破裂8例患者的临床资料,复习国内文献报告的16例并进行讨论。认为:排斥反应是移植肾实质自发性破裂的主要病理基础,外力作用是发生破裂的诱因之一;包膜切开可作为一种预防措施;有效的免疫抑制治疗能减轻移植肾破裂出血的程度;移植肾肾区剧烈疼痛是发生破裂的首发症状。早期诊断,及时探查止血,加强免疫抑制治疗,患者均可获得良好疗效。
Report the clinical data of 8 patients with spontaneous rupture of renal parenchyma, review 16 cases of domestic literatures and discuss them. It is considered that the rejection is the main pathological basis of the spontaneous rupture of the renal parenchyma and the external force is one of the causes of the rupture. The incision of the capsule can be used as a preventive measure. The effective immunosuppressive therapy can reduce the degree of hemorrhage ; Severe pain in the kidney graft area is the first symptom of rupture. Early diagnosis, timely exploration of hemostasis, strengthening immunosuppressive therapy, patients can get good effect.