Ogita S, Tokiwa K, Takahashi T
Division of Surgery, Children's Research Hospital, Kyoto Prefectural University of Medicine, Japan.
J Pediatr Surg. 1989 Feb;24(2):215-7. doi: 10.1016/s0022-3468(89)80254-4.
Interruption of arterial blood supply to the kidney results in acute renal failure (ARF). We describe a case of ARF caused by renal artery spasm following resection of a large abdominal neuroblastoma, combined with paraaortic lymph node dissection and ipsilateral nephrectomy. The blood flow was reestablished by administration of local anesthetics (lidocaine) into the obliterated renal artery through the angiographic catheter. An urgent angiography was of value for the early diagnosis and treatment of this lesion.
肾动脉血液供应中断会导致急性肾衰竭（ARF）。我们描述了一例因切除巨大腹部神经母细胞瘤后肾动脉痉挛，同时行主动脉旁淋巴结清扫术和同侧肾切除术而引发急性肾衰竭的病例。通过血管造影导管将局部麻醉剂（利多卡因）注入闭塞的肾动脉来重建血流。急诊血管造影对该病变的早期诊断和治疗具有重要价值。
