Mannesse C K, Blankestijn P J, Man in 't Veld A J, Schalekamp M A
Department of Internal Medicine I, University Hospital Dijkzigt, Erasmus University, Rotterdam, The Netherlands.
Clin Nephrol. 1991 Nov;36(5):240-5.
Four patients with end-stage renal failure (suspected to be) caused by cholesterol crystal emboli are described. Although cholesterol crystal embolization is generally considered to be fatal specifically when it is associated with renal failure, all four patients survived and in three renal function improved after periods of 3 weeks to 14 months of hemo- or peritoneal dialysis. The literature on cholesterol crystal embolization is reviewed and possible mechanisms of (partial) recovery of renal function are discussed.
本文描述了4例疑似由胆固醇结晶栓塞引起的终末期肾衰竭患者。尽管胆固醇结晶栓塞通常被认为是致命的，尤其是当它与肾衰竭相关时，但所有4例患者均存活，其中3例在经过3周至14个月的血液透析或腹膜透析后肾功能得到改善。本文回顾了有关胆固醇结晶栓塞的文献，并讨论了肾功能（部分）恢复的可能机制。
