[新型冠状病毒肺炎合并急性肾损伤的肾脏形态学]

[Renal Monomorphology in COVID-19 with Acute Renal Insufficiency].

作者信息

Tuma Jan, Neugebauer Felix, Rohacek Martin, Serra Andreas

机构信息

Ultrasound Learning Center (ULC) der European Federation of Ultrasound in Medicine and Biology (EFSUMB) am Institut für Allgemeine Innere Medizin und Nephrologie, Klinik Hirslanden, Zürich.

出版信息

Praxis (Bern 1994). 2020 Jul;109(9):731-735. doi: 10.1024/1661-8157/a003526. Epub 2020 May 29.

DOI:10.1024/1661-8157/a003526

PMID:32469263

Abstract

Renal Monomorphology in COVID-19 with Acute Renal Insufficiency A 78-year-old ventilator-dependent COVID-19 patient developed severe renal failure with an estimated glomerular filtration rate of 20 ml/min per 1.73 m2 and nephrotic proteinuria. Sonography showed echo-dense and enlarged kidneys with high resistance indices (>0.8). Echocontrast sonography showed a delayed renal perfusion. In the further course of the disease renal function recovered, kidney size decreased and the renal perfusion normalized. An acute COVID-19-associated interstitial nephritis is postulated.

摘要

COVID-19合并急性肾衰竭的肾脏形态学一名78岁依赖呼吸机的COVID-19患者出现严重肾衰竭，估计肾小球滤过率为20 ml/min/1.73 m²，并有肾病性蛋白尿。超声检查显示肾脏回声增强且增大，阻力指数较高（>0.8）。超声造影显示肾脏灌注延迟。在疾病的进一步发展过程中，肾功能恢复，肾脏大小减小，肾脏灌注恢复正常。推测为急性COVID-19相关性间质性肾炎。