皮质类固醇疗法联合血浆置换治疗肾胆固醇栓塞性疾病的评估。5例报告。

The evaluation of corticosteroid therapy in conjunction with plasma exchange in the treatment of renal cholesterol embolic disease. A report of 5 cases.

作者信息

Hasegawa M, Kawashima S, Shikano M, Hasegawa H, Tomita M, Murakami K, Kushimoto H, Katsumata H, Toba T, Oohashi A, Hiramitsu S, Matsunaga K

机构信息

Department of Nephrology, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.

出版信息

Am J Nephrol. 2000 Jul-Aug;20(4):263-7. doi: 10.1159/000013598.

DOI:10.1159/000013598

PMID:10970977

Abstract

In this report, we describe 5 patients with cholesterol atheroembolic renal failure. In 3 of the 5 patients, combined therapy with corticosteroids and plasma exchange was performed. These 3 patients survived, with 2 showing an improvement in renal function. The 2 remaining patients died of multifactorial causes. The literature on therapy for cholesterol atheroembolic renal failure is reviewed and the efficacy of combined therapy by use of corticosteroids and plasma exchange is evaluated.

摘要

在本报告中，我们描述了5例胆固醇栓塞性肾衰竭患者。5例患者中有3例接受了皮质类固醇与血浆置换的联合治疗。这3例患者存活，其中2例肾功能有所改善。其余2例患者死于多种因素。本文回顾了胆固醇栓塞性肾衰竭的治疗文献，并评估了皮质类固醇与血浆置换联合治疗的疗效。