创伤性肾动脉闭塞：晚期重建是否可取？

Traumatic renal artery occlusion: is late reconstruction advisable?

作者信息

Weimann S, Flora G, Dittrich P, Mikuz G, Bartsch G

出版信息

J Urol. 1987 Apr;137(4):727-9. doi: 10.1016/s0022-5347(17)44191-7.

Abstract

We report a case of traumatic renal artery occlusion treated successfully by reconstruction several years after the injury. Hypertension resulted in diagnostic investigation by means of excretory urography, computerized tomography, angiography and perfusion scintigraphy. Treatment consisted of a thin-walled polytetrafluoroethylene (Gore-Tex) bypass between the aorta and left renal artery near the hilus. When the patient was discharged from the hospital the creatinine level was normal and blood pressure was 180/90.

摘要

我们报告一例创伤性肾动脉闭塞病例，在受伤数年之后通过重建手术成功治愈。高血压促使患者接受排泄性尿路造影、计算机断层扫描、血管造影和灌注闪烁扫描等诊断检查。治疗方法是在主动脉与肾门附近的左肾动脉之间进行薄壁聚四氟乙烯（戈尔特斯）搭桥术。患者出院时肌酐水平正常，血压为180/90。