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结节性多动脉炎中的肾出血:诊断与处理

Renal hemorrhage in polyarteritis nodosa: diagnosis and management.

作者信息

Chandrakantan A, Kaufman J

机构信息

Department of Medicine, Boston University School of Medicine, Boston, MA 02130, USA.

出版信息

Am J Kidney Dis. 1999 Jun;33(6):e8. doi: 10.1016/s0272-6386(99)70175-7.

DOI:10.1016/s0272-6386(99)70175-7
PMID:10352224
Abstract

We report a patient with biopsy-proven polyarteritis nodosa with massive hemorrhage from presumed interlobar artery rupture. The use of interventional radiology techniques such as embolization are discussed in the acute management of such patients. Embolization by interventional radiology should be considered a useful alternative to surgery in these patients. The utility of angiography as a diagnostic and therapeutic tool is demonstrated in this case.

摘要

我们报告了一名经活检证实为结节性多动脉炎的患者,其因推测的叶间动脉破裂而出现大量出血。本文讨论了诸如栓塞等介入放射学技术在这类患者急性处理中的应用。对于这些患者,介入放射学栓塞应被视为手术的一种有用替代方法。本病例展示了血管造影作为一种诊断和治疗工具的效用。

相似文献

1
Renal hemorrhage in polyarteritis nodosa: diagnosis and management.结节性多动脉炎中的肾出血:诊断与处理
Am J Kidney Dis. 1999 Jun;33(6):e8. doi: 10.1016/s0272-6386(99)70175-7.
2
Spontaneous perirenal hemorrhage after rupture of an aneurysm in case of polyarteritis nodosa along with anuric renal failure. Case report and review of the literature.结节性多动脉炎患者动脉瘤破裂后自发性肾周出血伴无尿性肾衰竭。病例报告及文献复习。
Urol Int. 1997;59(3):188-90. doi: 10.1159/000283060.
3
Polyarteritis nodosa presenting as spontaneous perirenal hemorrhage: angiographic diagnosis and treatment with microcoil embolization.结节性多动脉炎表现为自发性肾周出血:血管造影诊断及微线圈栓塞治疗
J Vasc Interv Radiol. 1999 Nov-Dec;10(10):1361-3. doi: 10.1016/s1051-0443(99)70244-7.
4
Spontaneous perirenal haemorrhage in polyarteritis nodosa.结节性多动脉炎伴自发性肾周出血
J Coll Physicians Surg Pak. 2013 Jun;23(6):445-7.
5
[Bilateral spontaneous perirenal hematoma: an unusual complication of polyarteritis nodosa].[双侧自发性肾周血肿:结节性多动脉炎的一种罕见并发症]
Rev Med Interne. 1998 Sep;19(9):666-9. doi: 10.1016/s0248-8663(99)80047-2.
6
Spontaneous perirenal and hepatic hemorrhage in periarteritis nodosa.结节性多动脉炎中的自发性肾周和肝出血。
Can Assoc Radiol J. 1993 Feb;44(1):49-51.
7
Massive renal hemorrhage owing to polyarteritis nodosa.结节性多动脉炎所致的大量肾出血。
J Urol. 1988 Oct;140(4):808-9. doi: 10.1016/s0022-5347(17)41821-0.
8
Embolization of two bleeding aneurysms with platinum coils in a patient with polyarteritis nodosa.一名结节性多动脉炎患者的两个出血性动脉瘤用铂线圈栓塞治疗。
J Rheumatol. 1993 Jan;20(1):158-61.
9
Embolization of a ruptured aneurysm in classic polyarteritis nodosa presenting as perirenal hematoma.经典型结节性多动脉炎中表现为肾周血肿的破裂动脉瘤的栓塞治疗。
Arch Intern Med. 1998 Jul 13;158(13):1466-8. doi: 10.1001/archinte.158.13.1466.
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Polyarteritis nodosa presenting as spontaneous bilateral perinephric hemorrhage: management with selective arterial embolization.以自发性双侧肾周出血为表现的结节性多动脉炎:选择性动脉栓塞治疗
J Urol. 2000 Oct;164(4):1294-5.

引用本文的文献

1
Wunderlich's syndrome as a manifestation of polyarteritis nodosa.温德利希综合征作为结节性多动脉炎的一种表现。
BMJ Case Rep. 2017 Jan 30;2017:bcr2016218478. doi: 10.1136/bcr-2016-218478.
2
Spontaneous Retroperitoneal Haematoma due to Polyarteritis Nodosa: Report of a Case and Literature Review.结节性多动脉炎所致自发性腹膜后血肿:一例报告及文献复习
Case Rep Urol. 2016;2016:7592563. doi: 10.1155/2016/7592563. Epub 2016 Jan 18.
3
Polyarteritis nodosa presenting with spontaneous perirenal hematoma.结节性多动脉炎伴自发性肾周血肿。
Indian J Nephrol. 2012 Jul;22(4):295-7. doi: 10.4103/0971-4065.101254.