Risk factors for large hematoma complication caused by percutaneous renal biopsy which guided by ultrasound and related nursing care

• DOI: 10.3760/cma.j.issn.1672-7088.2019.29.005
• Publication Date: 2019-10-11
• Authors: Hu Ting; Zhang Hong-mei; Jiazhen Yin; Xuan-li Tang; Zhengxian Zhang; Wei Wang
• Keywords: Prothrombin time; Nephrology

Objective To analyze the risk factors for large renal hematoma caused by percutaneous biopsy (PRB) in order to provide evidence early clinical prevention and Effective nursing.

Methods The data of 707 patients who underwent PRB nephrology department Hangzhou Hospital Traditional Chinese Medicine from January 2016 2017 were retrospectively identified. Demographic collected, including general status (gender, age, body mass index, histological diagnosis, associated diseases), laboratory indexes related examination during (serum creatinine, estimated glomerular filtration rate, creatinineclearance serumuricacid, serumalbumin, hemoglobin, platelet count, prothrombin time, activated partial thromboplastin kidney size), blood pressure(history hypertension, systolic pressure, diastolic pressure mean arterial before PRB). Univariable logistic regression analysis, linear factor multivariable analysis receiver operating characteristic curve (ROC curve) used assess factors.

Results Over period, native biopsies performed. Hematoma occurred 609 (86.1%), 558 minorhematomacases (78.9%), 51 largehematoma cases (7.2%), no severe complications observed. with after found that there significant differences tubulointerstitial fibrosis, crescents > 25%, serum history (P 0. 05).

Conclusions History hypertension independent PRB.Patients more likely develop than those higher hematoma. The have certain effect predicting formation PRB. Each them a predictive on PRB, prediction trend is slightly better hypertension.

Key words: Renal biopsy; Large hematoma; Risk