介入治疗急性肾梗死的效果评价及预后分析
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摘要
目的探讨急性肾梗死的临床特点和血管介入的临床应用。方法回顾性分析我院2012—2014年收治的5例急性肾梗死患者的诊治情况。结果 5例患者根据临床症状、CT检查及血管造影均获明确诊断,1例患者行保守治疗后肾梗死无明显好转;4例行肾动脉血栓抽吸及溶栓治疗后,有3例患者症状缓解,梗死灶血流完全或部分恢复,1例患者出现部分肾梗死。结论早期确诊后行介入治疗肾动脉闭塞,对肾功能恢复及预后意义重大。
Objective To evaluate the clinical characteristics of acute renal infarction and endovascular interventional therapy in treating acute renal infarction. Methods Since 2012 to 2014, 5 cases of renal artery occlusion were encountered in our hospital. Renal arterial suction and thrombolytic therapy were immediately carried out immediately after the diagnosis was confirmed. Results Based on clinical manifestations, enhanced CT scan and angiography, the diagnosis of acute renal infarction was definitely confirmed in all 5 patients.1 patient underwent the medicine conservative treatment, the renal infarction did not change well at all; 4 patients underwent interventional therapy, and clinical symptoms relived with the blood flow in infracted area completely or partially returned to normal in 3 cases. The other 1 case lost the renal. Conclusions The early confirmation of diagnosis and prompt interventional therapy arecritical for rescue of the acute renal infarction.
Objective To evaluate the clinical characteristics of acute renal infarction and endovascular interventional therapy in treating acute renal infarction. Methods Since 2012 to 2014, 5 cases of renal artery occlusion were encountered in our hospital. Renal arterial suction and thrombolytic therapy were immediately carried out immediately after the diagnosis was confirmed. Results Based on clinical manifestations, enhanced CT scan and angiography, the diagnosis of acute renal infarction was definitely confirmed in all 5 patients.1 patient underwent the medicine conservative treatment, the renal infarction did not change well at all; 4 patients underwent interventional therapy, and clinical symptoms relived with the blood flow in infracted area completely or partially returned to normal in 3 cases. The other 1 case lost the renal. Conclusions The early confirmation of diagnosis and prompt interventional therapy arecritical for rescue of the acute renal infarction.
引文
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6 Domanovits H,Paulis M,Nikfardjam M,et al.Acute renal infarction.Clinical characteristics of 17 patients[J].Medicine(Baltimore),1999,78(6):386-394.
7 赵殿辉,万卫平,陆青云,等.C T增强诊断肾梗死4例[J].中国医学影像技术,2009,25(10):1921-1922.doi:10.3321/j.issn:1003-3289.2009.10.053.
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9 Huang CC,Chen WL,Chen JH,et al.Clinical characteristics of renal infarction in Asian population[J].Ann Acad Med Singapore,2008,37(5):416-420.
10 张继伟,刘乃波.急性肾梗死四例报告及文献复习[J].中华泌尿外科杂志,2007,28(4):242-245.doi:10.3760/j:issn:1000-6702.2007.04.007.
11 Rhee H,Song SH,Won Lee D,et al.The significance of clinical features in the prognosis of acute renal infarction:single center experience[J].Clin Exp Nephrol,2012,16(4):611-616.doi:10.1007/s10157-012-0605-7.
2 Oki K,Matsuura W,Saito Y,et al.Infective endocarditis and acute purulent pericarditis in a patient with hyperglycemia[J].Intern Med,2005,44(6):666.
3 黄艺生,杨熙章,吴纪瑞,等.疑似急性肠梗阻的肾动脉血栓及经肾动脉溶栓一例[J].介入放射学杂志,2013,22(1):85-86.doi:10.3969/j.issn.1008-794X.2013.01.021.
4 王东,史炼钢,于镜泊.肠系膜上动脉栓塞与肾动脉栓塞急腹症的特点[J].中华急诊医学杂志,2011,20(3):315-316.doi:10.3760/cma.j.issn.1671-0282.2011.03.027.
5 林云华,王俊生,姜永光,等.急性肾梗死的早期诊断和介入治疗[J].中华泌尿外科杂志,2012,33(11):851-855.doi:10.3760/cma.j.issn.1000-6702.2012.11.014.
6 Domanovits H,Paulis M,Nikfardjam M,et al.Acute renal infarction.Clinical characteristics of 17 patients[J].Medicine(Baltimore),1999,78(6):386-394.
7 赵殿辉,万卫平,陆青云,等.C T增强诊断肾梗死4例[J].中国医学影像技术,2009,25(10):1921-1922.doi:10.3321/j.issn:1003-3289.2009.10.053.
8 吴阶平.泌尿外科学[M].山东:山东科学技术出版社,2004;1728.
9 Huang CC,Chen WL,Chen JH,et al.Clinical characteristics of renal infarction in Asian population[J].Ann Acad Med Singapore,2008,37(5):416-420.
10 张继伟,刘乃波.急性肾梗死四例报告及文献复习[J].中华泌尿外科杂志,2007,28(4):242-245.doi:10.3760/j:issn:1000-6702.2007.04.007.
11 Rhee H,Song SH,Won Lee D,et al.The significance of clinical features in the prognosis of acute renal infarction:single center experience[J].Clin Exp Nephrol,2012,16(4):611-616.doi:10.1007/s10157-012-0605-7.