Spontaneous renal rupture in hemorrhagic fever with renal syndrome: Clinical analysis of 11 cases
AIM: To analyze the clinical features and effective treatments of spontaneous renal rupture in hemorrhagic fever with renal syndrome (HFRS) so as to lower its incidence rate. METHODS: The clinical data of 11 cases of spontaneous renal rupture in HFRS were collected and analyzed retrospectively. RESULTS: Ten of the 11 cases (2 left renal rupture; 8 right renal rupture and 1 both left and right renal rupture) were found to have definite predisposing causes and most of them occurred in oliguria stage. Blood plate count (BPC) in 7 cases was below 80 × 109/L. With conservative treatment, 9 patients were cured. Death occurred in 2 cases, one after haemodialysis and the other due to discontinued treatment under the request from the patient's family. CONCLUSION: Spontaneous renal rupture occurs mostly in oliguria stage and BPC is low. HFRS patients during oliguria stage should be given intensive care and special efforts should be made to avoid risk factors such as moving the patients in the beds and increased intra-abdominal pressure due to cough or bowel movement. Non-heparinized dialysis can be used for patients with very low BPC. Conservative treatment is still an effective management for most HFRS patients.
NETL
NSTL
万方数据
维普
