Vogt J, Kutkuhn B, Sandmann W, Borchard F, Kuhn F P, Grabensee B
Medizinische Klinik und Poliklinik, Heinrich-Heine-Universität, Düsseldorf.
Z Kardiol. 1992 Sep;81(9):512-4.
The clinical clues of sudden arterial hypertension, acute pain in the side, proteinuria, hematuria, abdominal bruits and renal failure are suspicious for spontaneous dissection of the renal arteries, even in the absence of one or more of the above-mentioned symptoms. To confirm the diagnosis and to provide appropriate therapy, immediate renal arteriography is mandatory, otherwise acute loss of renal tissue may occur. We report on one patient with spontaneous dissection of the renal arteries.
突发动脉性高血压、侧腹急性疼痛、蛋白尿、血尿、腹部血管杂音以及肾衰竭等临床线索提示可能存在肾动脉自发性夹层,即便缺乏上述一种或多种症状时亦是如此。为明确诊断并提供恰当治疗,必须立即进行肾动脉造影,否则可能会出现肾组织急性丧失。我们报告了一例肾动脉自发性夹层患者。