Lai Yi-Hsin, Chuang Cheng-Hsun, Ho Sai-Wai, Chen Chia-Ching
Department of Emergency Medicine, Chung Shan Medical University Hospital, Taichung City, Taiwan.
J Med Ultrasound. 2022 Jan 6;30(4):300-302. doi: 10.4103/jmu.jmu_167_21. eCollection 2022 Oct-Dec.
Acute renal infarction is a rare form of vascular emergency. Although major risk factors of renal infarction are due to cardio-embolic events such as atrial fibrillation, valvular or ischemic heart disease, renal artery thrombosis/dissection, and coagulopathy, the prevalence of idiopathic acute renal infarction can be as high as 59%. Two cases that contributed to this emergency are presented. The history, physical examination, and clinical imaging findings for clinical assessment are briefly described. Point-of-Care Ultrasonography (POCUS) was used to exclude other etiology and identify the pathological changes. The role of POCUS in rapid rule in acute renal infarction has been emphasized in clinical settings.
急性肾梗死是一种罕见的血管急症。尽管肾梗死的主要危险因素是心源性栓塞事件,如心房颤动、瓣膜性或缺血性心脏病、肾动脉血栓形成/夹层以及凝血病,但特发性急性肾梗死的患病率可高达59%。本文介绍了导致这一急症的两例病例。简要描述了用于临床评估的病史、体格检查和临床影像学检查结果。使用床旁超声检查(POCUS)排除其他病因并识别病理变化。在临床环境中,POCUS在快速诊断急性肾梗死方面的作用得到了强调。