[一名70岁患者的肾衰竭与反复发生的急性肺水肿]
[Renal failure and recurrent episodes of flash pulmonary edema in a 70-year-old patient].
作者信息
Artunc Ferruh, Brechtel Klaus, Kattner Barbara, Celebi Nora, Bunz Hanno, Jorbenadze Rezo, Lutz Stefan, Weyrich Peter, Haap Michael
机构信息
Medizinische Klinik, Universitätsklinikum Tübingen.
出版信息
Dtsch Med Wochenschr. 2013 Jul;138(27):1410. doi: 10.1055/s-0033-1343266. Epub 2013 Jun 25.
HISTORY AND ADMISSION FINDINGS
We report on a patient presenting with renal failure who developed mutliple episodes of flash pulmonary edema.
INVESTIGATIONS
Volume retention due to ischemic nephropathy was found to be the cause.
DIAGNOSIS, TREATMENT AND COURSE: She was diagnosed to have a high grade renal artery stenosis in a functional solitary kidney and underwent percutaneous angioplasty. After being anuric and dialysis-dependent, she regained her kidney function leading to resolution of the volume retention and could be weaned from dialysis.
CONCLUSIONS
Ischemic nephropathy is often accompanied by recurrent episodes of flash pulmonary edema and responds well to an interventional treatment.
病史及入院检查结果
我们报告一例出现肾衰竭并多次发生急性肺水肿的患者。
检查
发现缺血性肾病导致的容量潴留是病因。
诊断、治疗及病程：她被诊断为功能性孤立肾存在重度肾动脉狭窄，并接受了经皮血管成形术。在无尿且依赖透析后，她恢复了肾功能，容量潴留得以缓解，且能够停止透析。
结论
缺血性肾病常伴有急性肺水肿反复发作，对介入治疗反应良好。
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