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自发性肾盂破裂是指无明显诱因的肾盂破裂,临床少见。我院从1983～1987年10月共收治4例。现报告如下: 例1,男,30岁,哈萨克族。入院前两周开始左上腹和腰背部疼痛逐渐加重,无泌尿系症状。左上腹包块,并迅速增大,持续高热,病情加重转入我院。检查:腹部膨隆,全腹压痛,反跳痛,以左上腹部为著,超声波探及左上腹10×10×16cm囊性包块,与肝脾无关。血常规Hb100g/L,WBC16.5×10~9/L,N86%。尿常规:蛋白_(++++),脓细胞_(++++)。肾图报告右肾正常,左肾无功能,临床诊断:左脓肾并破裂。剖腹探查:腹腔脏器无异常,腹腔抽出乳白色脓液约3000ml,后腹膜有线状裂孔,原始脓腔在左肾盂(肾盂已破裂),证实术前
Spontaneous renal pelvis rupture refers to the no obvious incentive of renal pelvis rupture, clinical rare. Our hospital from 1983 to October 1987 were treated in 4 cases. The report is as follows: Example 1, male, 30 years old, Kazakh. Two weeks before admission, left upper quadrant and lower back pain gradually aggravate, no urinary symptoms. Left upper quadrant mass, and rapidly increased, sustained high fever, exacerbations into our hospital. Check: bulging abdomen, full abdominal tenderness, rebound tenderness, with the left upper abdomen as the ultrasound probe and the left upper quadrant 10 × 10 × 16cm cystic mass, and the liver and spleen unrelated. Blood Hb100g / L, WBC16.5 × 10 ~ 9 / L, N86%. Urine routine: protein _ (++++), pus cells _ (++++). Renal chart report normal right kidney, left kidney no function, clinical diagnosis: left pus kidney and rupture. Caesarean section exploration: no abnormalities in abdominal organs, abdominal cavity out of milky pus about 3000ml, retroperitoneal wire hole, the original abscess in the left renal pelvis (renal pelvis has ruptured), confirmed preoperative