Yang Chang-Yo, Fu Ren-Huei, Lien Reyin, Yang Peng-Hong
Division of Newborn Medicine, Department of Pediatrics, University of Southern California, Children's Hospital, Los Angeles, CA, USA; Division of Neonatology, Chang Gung Children's Hospital and Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
Division of Neonatology, Chang Gung Children's Hospital and Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
Urol Case Rep. 2014 Mar 22;2(3):117-9. doi: 10.1016/j.eucr.2014.02.001. eCollection 2014 May.
Neonatal renal vein thrombosis is the most common vascular condition in the newborn kidney, which could lead to serious complication in infants undergoing intensive care. In this study, we report the case of a preterm infant with left renal vein and inferior vena cava thrombosis, presented with gross hematuria, thrombocytopenia, transient hypertension, and adrenal hemorrhage. Supportive care was offered instead of heparin therapy or thrombolytic agents. In conclusion, our case teaches that, despite the lack of a clinically obvious shock event, renal vein thrombosis should be considered in a macrohematuric newborn without renal failure.
新生儿肾静脉血栓形成是新生儿肾脏最常见的血管疾病，可导致重症监护婴儿出现严重并发症。在本研究中，我们报告了1例早产婴儿发生左肾静脉和下腔静脉血栓形成，表现为肉眼血尿、血小板减少、短暂性高血压和肾上腺出血。给予支持性治疗而非肝素治疗或溶栓药物。总之，我们的病例提示，尽管缺乏临床明显的休克事件，但对于无肾衰竭的肉眼血尿新生儿应考虑肾静脉血栓形成。
