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[动脉内操作并发症:播散性胆固醇栓子所致终末期肾功能不全]

[Terminal kidney insufficiency caused by disseminated cholesterol emboli as a complication of intra-arterial manipulation].

作者信息

van Olden R W, Weerdenburg J P, Gerlag P G

出版信息

Ned Tijdschr Geneeskd. 1989 Apr 22;133(16):835-8.

PMID:2524670
Abstract

Following a renal PTA a 63-year-old man developed a multisystem illness caused by disseminated cholesterol embolism. The clinical manifestations were changing myalgia, peripheral ischaemia, livedo reticularis, episodic hypertension, eosinophilia and rapidly progressive renal insufficiency. The diagnosis was made on the clinical picture and confirmed by skin biopsy. Ultimately, chronic intermittent haemodialysis was necessary. There is no specific treatment available for this disease. It is possible that this complication occurs more frequently, but often remains subclinical.

摘要

一名63岁男性在接受肾动脉经皮腔内血管成形术(PTA)后,出现了由弥漫性胆固醇栓塞引起的多系统疾病。临床表现为进行性肌痛、外周缺血、网状青斑、发作性高血压、嗜酸性粒细胞增多及快速进展的肾功能不全。根据临床表现做出诊断,并经皮肤活检得以证实。最终,患者需要进行长期间歇性血液透析。该病尚无特效治疗方法。这种并发症可能更常见,但常处于亚临床状态。

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