Taniguchi T, Hashimoto K, Ogawa O, Nakagawa T
Department of Urology, Kitano Hospital.
Hinyokika Kiyo. 1988 Feb;34(2):318-21.
Herein we describe a 59-year-old man with left renal artery emboli treated with selective intra-arterial infusion followed by systemic intravenous infusion of urokinase. Total dose of infused urokinase was 2,712,000 units. Although the function of the affected kidney was not recovered, we have demonstrated successful clot lysis and no complication. Selective or systemic thrombolytic therapy is extremely promising as a method of treatment of renal artery embolism, especially in the poor operative candidate. The availability of this potentially efficacious therapy suggests that aggressive diagnostic studies be performed early in patients suspected of having renal artery embolism.
在此，我们描述了一名59岁男性，患有左肾动脉栓塞，接受了选择性动脉内输注，随后全身静脉输注尿激酶治疗。输注尿激酶的总剂量为2,712,000单位。尽管患肾的功能未恢复，但我们已证明成功溶解了血栓且无并发症。选择性或全身性溶栓治疗作为肾动脉栓塞的一种治疗方法极有前景，尤其是对于手术条件较差的患者。这种潜在有效治疗方法的可用性表明，对于疑似肾动脉栓塞的患者应尽早进行积极的诊断研究。
