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先天性孤立肾很少见,Magri及Ashey综合文献指出,先天性孤立肾尸检平均发生率为1∶1000～1500;迄今,国外报告先天性孤立肾600多例,国内自1936～1990年共报导20例。临床上如果孤立肾不发生创伤或病变,患者终生可以无症状;如果一旦仅有单侧的独肾突遭外伤或发生其他病变而合并尿毒症时,则要求在急症的情况下及手术中明确孤立肾的诊断,作出相应准确的处理,不然预后极坏,导致短期内死亡。我院干1965年5月～1990年5月收治的4例、报导如下:
Congenital isolated kidney is rare, Magri and Ashey comprehensive literature pointed out that the average incidence of congenital isolated renal autopsy was 1: 1000 ~ 1500; so far, foreign reports of more than 600 congenital solitary kidney, from 1936 to 1990 were reported 20 cases. Clinically, if the isolated kidney does not have trauma or disease, the patient can be lifelong asymptomatic; if only one side of the kidney alone trauma or other lesions associated with uremia, it is required in acute cases and surgery clear Isolated kidney diagnosis, to make the appropriate treatment, otherwise the prognosis is very bad, leading to death in the short term. Our hospital from May 1965 to May 1990 admitted to 4 cases, reported as follows: