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以急性肾损伤为首发表现的自发性肾静脉血栓形成 2 例报告

Acute kidney injury as the first sign of spontaneous renal vein thrombosis: report of 2 cases.

出版信息

J Thromb Thrombolysis. 2012 Jan;33(1):129-32. doi: 10.1007/s11239-011-0633-2.

DOI:10.1007/s11239-011-0633-2
PMID:21904843
Abstract

Spontaneous renal vein thrombosis (RVT) is very rare in the absence of nephrotic syndrome. It is more common in newborns and infants. RVT should always be included in the differential diagnosis of flank pain and hematuria, and because RVT can induce acute renal injury. A 19-year-old man was admitted to our hospital because he complained of right flank pain and oliguria for 3 days. Another patient, a 24-year-old man, complained of a severe and sudden onset of bilateral flank pain and anuria for a day. They were both healthy before they developed the described symptoms and had different levels of decrease in renal function when they visited the hospital. Color Doppler ultrasonography revealed RVT in both the patients. The patients received therapy, including anticoagulation and thrombolysis, following their diagnoses, and they recovered in a few days.

摘要

自发性肾静脉血栓形成(RVT)在无肾病综合征的情况下非常罕见。它在新生儿和婴儿中更为常见。RVT 应始终包括在腰痛和血尿的鉴别诊断中,因为 RVT 可引起急性肾损伤。一名 19 岁男性因右侧腰痛和少尿 3 天而入院。另一名 24 岁男性因严重且突然出现双侧腰痛和无尿 1 天而就诊。他们在出现描述的症状之前都很健康,并且在就诊时肾功能均有不同程度的下降。彩色多普勒超声显示这两名患者均存在 RVT。这两名患者在确诊后接受了抗凝和溶栓治疗,几天内便康复了。

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