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新型溶栓输注在溶解肾动脉栓塞性血栓中的应用:低剂量缓慢输注溶栓治疗

New Thrombolytic Infusion Application of Dissolving Renal Artery Embolic Thrombosis: Low-Dose Slow-Infusion Thrombolytic Therapy.

作者信息

Karakurt Ahmet

机构信息

Department of Cardiology, Faculty of Medicine, Kafkas University, Kars, Turkey.

出版信息

Case Rep Nephrol. 2018 May 2;2018:1609025. doi: 10.1155/2018/1609025. eCollection 2018.

Abstract

Renal artery thromboembolism (RATE) is an uncommon complication of renal arteries from heart chamber. Although there is no treatment protocol prescribed with guidelines, thrombolytic agents such as rt-PA are frequently used. Unfortunately, current thrombolytic agent application protocol in treatment for the RATE is used in acute myocardial infarction or acute pulmonary embolism. In this protocol, 0.9-1.0% cerebral and 4-13% noncerebral hemorrhages are seen. In contrast to this protocol, we aimed to present a case of RATE, in which we applied low-dose, slow-infusion thrombolytic therapy, and we have not observed any complication such as cerebral and noncerebral hemorrhage.

摘要

肾动脉血栓栓塞(RATE)是源自心腔的肾动脉罕见并发症。尽管尚无指南规定的治疗方案,但诸如rt-PA等溶栓剂仍被频繁使用。不幸的是,目前用于RATE治疗的溶栓剂应用方案是用于急性心肌梗死或急性肺栓塞的。在此方案中,可见0.9 - 1.0%的脑出血和4 - 13%的非脑出血。与该方案不同的是,我们旨在呈现一例RATE病例,在该病例中我们应用了低剂量、缓慢输注的溶栓治疗,且未观察到任何诸如脑出血和非脑出血等并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fe3/5954957/57bd352d4801/CRIN2018-1609025.001.jpg

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