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本文引用的文献

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New mediators of vascular damage in dialysed patients.
Rom J Morphol Embryol. 2011;52(2):533-6.
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Risk factors and metabolic mechanisms in the pathogenesis of uraemic cardiac disease.尿毒症性心脏病发病机制中的风险因素和代谢机制。
Front Biosci (Landmark Ed). 2011 Jan 1;16(4):1364-87. doi: 10.2741/3794.
3
Impact of renal function on mortality and incidence of major adverse cardiovascular events following acute coronary syndromes.肾功能对急性冠脉综合征后死亡率及主要不良心血管事件发生率的影响
Rev Port Cardiol. 2010 Sep;29(9):1331-52.
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Use of evidence-based therapies in short-term outcomes of ST-segment elevation myocardial infarction and non-ST-segment elevation myocardial infarction in patients with chronic kidney disease: a report from the National Cardiovascular Data Acute Coronary Treatment and Intervention Outcomes Network registry.在慢性肾脏病患者中，基于证据的治疗方法在 ST 段抬高型心肌梗死和非 ST 段抬高型心肌梗死的短期结局中的应用：来自全国心血管数据急性冠状动脉治疗和干预结局网络注册的报告。
Circulation. 2010 Jan 26;121(3):357-65. doi: 10.1161/CIRCULATIONAHA.109.865352. Epub 2010 Jan 11.
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Vascular calcification: the killer of patients with chronic kidney disease.血管钙化：慢性肾脏病患者的“杀手”
J Am Soc Nephrol. 2009 Jul;20(7):1453-64. doi: 10.1681/ASN.2008070692. Epub 2009 May 28.
6
Coronary revascularization in diabetic chronic kidney disease/end-stage renal disease: a nephrologist's perspective.糖尿病慢性肾脏病/终末期肾病患者的冠状动脉血运重建：肾脏病专家的观点
Clin J Am Soc Nephrol. 2006 Mar;1(2):209-20. doi: 10.2215/CJN.00510705. Epub 2006 Feb 1.
7
Chronic renal failure: a cardiovascular risk factor.
Kidney Int Suppl. 2005 Dec(99):S25-9. doi: 10.1111/j.1523-1755.2005.09906.x.
8
Effect of pravastatin on cardiovascular events in people with chronic kidney disease.普伐他汀对慢性肾病患者心血管事件的影响。
Circulation. 2004 Sep 21;110(12):1557-63. doi: 10.1161/01.CIR.0000143892.84582.60. Epub 2004 Sep 13.
9
Acute myocardial infarction and renal dysfunction: a high-risk combination.急性心肌梗死与肾功能不全：一种高危组合。
Ann Intern Med. 2002 Oct 1;137(7):563-70. doi: 10.7326/0003-4819-137-7-200210010-00007.

一名肾移植患者，出现腹部不适、呕吐和腹泻症状1周。

A renal transplant patient with abdominal discomfort, vomiting and diarrhoea for 1 week.

作者信息

Lutwak Nancy, Dill Curt

机构信息

Department of Emergency Services New York, VA New York Harbor Healthcare Center, New York, United States.

出版信息

BMJ Case Rep. 2011 Aug 24;2011:bcr0720114529. doi: 10.1136/bcr.07.2011.4529.

DOI:10.1136/bcr.07.2011.4529
PMID:22678945
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3171025/
Abstract

The patient is a 61-year-old diabetic male with history of renal transplant who presented to the emergency department with complaints of intermittent abdominal discomfort accompanied by multiple episodes of vomiting and diarrhoea. He had delayed seeking medical attention until his friends insisted that he come to the emergency department, since the abdominal discomfort was worsening. The patient's ECG revealed an ST-segment elevation myocardial infarction.

摘要

该患者为一名61岁的糖尿病男性，有肾移植病史，因间歇性腹部不适伴多次呕吐和腹泻到急诊科就诊。由于腹部不适加重，他一直拖延就医，直到朋友坚持让他来急诊科。患者的心电图显示为ST段抬高型心肌梗死。