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一例由动脉粥样硬化栓子导致的大面积肾梗死:病例报告

A Massive Renal Infarction Due to Atheroemboli: A Case Report.

作者信息

Nguyen Tuan Long, Nguyen Thi Bach Yen, Nguyen Duc Hung, Nguyen Hoai Vu

机构信息

Cardiology, Tam Anh Hospital, Ha Noi, VNM.

出版信息

Cureus. 2023 Jul 13;15(7):e41842. doi: 10.7759/cureus.41842. eCollection 2023 Jul.

Abstract

The symptoms of acute renal infarction (ARI) caused by atheroemboli are vague, making it rare. Early diagnosis of renal infarction can be made through contrast-enhanced CT of the abdomen. However, diagnosing atheroemboli is more challenging. Kidney biopsy is the most accurate method to determine the cause, but it may not always be available in clinical settings. In cases where a thrombectomy is performed, white substances in thrombus aspiration or the patient's blood can suggest a diagnosis. Intervention is an effective technique, but there is controversy due to a lack of data, particularly in lobular artery infarction. We successfully treated one case using thrombus aspiration, and the specimens suggested atherosclerosis as the cause.

摘要

动脉粥样硬化栓子引起的急性肾梗死(ARI)症状不明确,导致其较为罕见。肾梗死的早期诊断可通过腹部增强CT进行。然而,诊断动脉粥样硬化栓子更具挑战性。肾活检是确定病因的最准确方法,但在临床环境中可能并非总能进行。在进行血栓切除术的病例中,血栓抽吸物或患者血液中的白色物质可提示诊断。介入治疗是一种有效的技术,但由于缺乏数据,尤其是在小叶动脉梗死方面,存在争议。我们成功地使用血栓抽吸术治疗了一例病例,标本提示动脉粥样硬化为病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1088/10423079/56b3634564d1/cureus-0015-00000041842-i01.jpg

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