双侧逆行肾盂造影并发急性肾小管坏死。
Acute tubular necrosis complicating bilateral retrograde pyelography.
作者信息
Whalley D W, Ibels L S, Eckstein R P, Alexander J H, Smith R D
机构信息
Royal North Shore Hospital, NSW.
出版信息
Aust N Z J Med. 1987 Oct;17(5):536-8. doi: 10.1111/j.1445-5994.1987.tb00116.x.
Abstract
Acute renal failure following retrograde pyelography is a rare occurrence. The mechanisms reported have focused upon urinary tract obstruction either at an intrarenal or ureteric level. This report describes the first biopsy-proven case of acute tubular necrosis complicating retrograde pyelography. We propose the etiology to be direct tubular toxicity resulting from pyelolymphatic reflux of contrast.
摘要
逆行肾盂造影术后急性肾衰竭是一种罕见的情况。报道的机制主要集中在肾内或输尿管水平的尿路梗阻。本报告描述了首例经活检证实的逆行肾盂造影并发急性肾小管坏死的病例。我们认为病因是造影剂经肾盂淋巴管反流导致的直接肾小管毒性。
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