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动脉粥样硬化栓塞所致血尿:1例生前确诊病例报告

Hematuria caused by atheromatous embolism: report of a case diagnosed intravitam.

作者信息

Wellmann K F

出版信息

J Urol. 1975 Aug;114(2):299-300. doi: 10.1016/s0022-5347(17)67012-5.

DOI:10.1016/s0022-5347(17)67012-5
PMID:1159927
Abstract

Gross, painless hematuria as the only symptom in a 53-year-old male diabetic necessitated partial nephrectomy and was then found to have been caused by atheromatous embolism associated with recent infarction of the renal parenchyma. This case appears to be the first one reported in which the diagnosis of renal atheromatous embolization had been established intravitam. A similar episode of hematuria occurred a year postoperatively and another renal infarction, likely caused by atheromatous embolization, was demonstrable with tomographic and angiographic techniques.

摘要

一名53岁男性糖尿病患者,唯一症状为无痛性肉眼血尿,因此接受了部分肾切除术,术后发现血尿是由动脉粥样硬化栓塞伴近期肾实质梗死所致。该病例似乎是首例在生前确诊为肾动脉粥样硬化栓塞的报道。术后一年出现了类似的血尿发作,通过断层扫描和血管造影技术证实,可能是由动脉粥样硬化栓塞引起了另一次肾梗死。

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