肾部分切除术后迟发性出血的原因分析及治疗对策

赵黎明; 刘致中; 岳长久; 韩利忠; 曹文军

doi:10.13201/j.issn.1001-1420.2016.10.021

肾部分切除术后迟发性出血的原因分析及治疗对策

- 内蒙古医科大学第三附属医院泌尿外科(内蒙古包头,014010)

详细信息

通讯作者: 赵黎明,E-mail:52320203@qq.com

中图分类号: R699.2

收稿日期: 2016-05-18

Corresponding author: , E-mail: 52320203@qq.com

Received Date: 18 May 2016

摘要

摘要: 目的:探讨肾部分切除术后迟发性出血原因及其防治方法。方法:回顾性分析我科2010年8月~2015年12月行肾部分切除术的64例患者临床资料,发生迟发性出血3例(4.7%)。男1例,女2例。将其与未出血患者比较探讨肾部分切除术后出血的危险因素。结果:3例患者出血表现为术后7~22天(平均16.3天)内出现大量肉眼血尿,血压及血红蛋白均下降。2例出血患者行输血及保守治疗病情好转,其余1例行超选择性肾动脉栓塞术,肾动脉造影提示为假性动脉瘤,术后血尿消失。出血组与未出血组相比,热缺血时间更长,差异有统计学意义(P＜0.05)。结论:肾部分切除术后出血往往为迟发性,一旦出现此并发症,需要及时治疗,超选择性肾动脉栓塞是治疗肾部分切除术后出血安全有效的治疗方法。
- 肾部分切除术 /
- 术后出血 /
- 危险因素

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参考文献(15)

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