Biopsy-induced perirenal huge hematoma.docVIP

 PAGE \* MERGEFORMAT 8 Biopsy-induced perirenal huge hematoma Author: cum Li-Jun Hu Jun Jie Xu Zhiyong Keywords: biopsy huge hematoma perirenal Hospital on August 3, 2006 on one cases of systemic lupus erythematosus patients with renal biopsy, patients undergoing major perinephric hematoma, hemorrhagic shock, by conservative treatment and vital signs stabilized, follow-up of 12 months hematoma absorption, without sequelae, the report is as follows. A clinical data Female patient, 30-year-old farmer. Clinical diagnosis of systemic lupus erythematosus 2 years after prednisone (0.8mg/kg * d-1) 8 weeks after the reduction for 10 weeks, plus cyclophosphamide 2.5mg/kg * d-1, reached a total of 150mg/kg withdrawal symptoms once mitigation. Almost 1 month appeared edema, anemia, proteinuria, on July 18, 2006 received bachelor living. Admission examination: body temperature 37 ℃, blood pressure 130/70 mmHg, mild anemia appearance, eyelids, lower extremity edema, no rash, joint swelling and pain-free. Cardiopulmonary normal abdominal examination. Laboratory tests: blood count showed hemoglobin 112g / L, platelets 99 × 109 / L, WBC 4.4 × 109 / L, differential count normal. Urinalysis showed: urinary protein 2, urine red blood cell quantity 131 / μl. Renal function serum creatinine: 187μmol / L, urea nitrogen 13.18mmol / L, normal liver function. Blood 1:100 positive antinuclear antibodies, anti-double-stranded DNA antibodies 208 kIU / L, ANCA - anti-neutrophil cytoplasmic antibody (pANCA), cytoplasmic-type - anti-neutrophil cytoplasmic antibody ( cANCA) were negative. Urine protein 1534 mg/24h, endogenous creatinine clearance rate 22.34ml/min. Prothrombin time (PT) 11.40s (control 12s), international normalized ratio (INR) 0.98%, fibrinogen (Fbg) 1.26g / L, PT activity of 81.40%, white clay, prothrombin time (APTT) 25.20s, bleeding time (TT) 17.11s (normal reference 13 ~ 21s). Aspect of renal B-normal size of kidneys, the left kidney 98mm × 3