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心脏导管插入术后胆固醇栓塞综合征

Cholesterol emboli syndrome following cardiac catheterization.

作者信息

Freund N S

机构信息

Department of medicine, University of Medicine and Dentistry of New Jersey--New Jersey Medical School, Newark.

出版信息

Postgrad Med. 1990 Apr;87(5):55-60. doi: 10.1080/00325481.1990.11704626.

Abstract

Cholesterol emboli syndrome should always be considered in an elderly patient with acute renal failure or cutaneous lesions following an invasive vascular procedure or surgery. Laboratory findings that suggest atheroemboli include eosinophilia, an elevated erythrocyte sedimentation rate, leukocytosis, and anemia. Diagnosis is made by biopsy of the affected organ, and treatment is supportive. Patients usually die of multisystem failure.

摘要

对于接受侵入性血管手术或手术后出现急性肾衰竭或皮肤病变的老年患者,应始终考虑胆固醇栓塞综合征。提示动脉粥样硬化栓塞的实验室检查结果包括嗜酸性粒细胞增多、红细胞沉降率升高、白细胞增多和贫血。通过对受影响器官进行活检来做出诊断,治疗以支持治疗为主。患者通常死于多系统衰竭。

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