Bloom R, Swenson R S, Coplon N S
Calif Med. 1973 Oct;119(4):1-5.
Three cases of acute bilateral renal cortical necrosis, each with a different clinical course, are discussed. One patient spontaneously recovered renal function after prolonged oliguria. This case should be added to the small number of similar case reports in the literature. The second patient recovered adequate renal function temporarily, but eventually required chronic hemodialysis and renal transplantation. There was pathological evidence of progression from focal to massive cortical necrosis. The third patient never regained renal function, but is well after dialysis and transplantation. The influence of modern theories of pathogenesis of the disease, and increased availability of dialysis, are discussed in relation to the initial prognostic assessment of the patient with cortical necrosis.
本文讨论了三例急性双侧肾皮质坏死病例，每例都有不同的临床病程。一名患者在长时间少尿后肾功能自发恢复。该病例应补充到文献中为数不多的类似病例报告中。第二名患者暂时恢复了足够的肾功能，但最终需要长期血液透析和肾移植。有病理证据表明病变从局灶性发展为大面积皮质坏死。第三名患者肾功能从未恢复，但在透析和移植后情况良好。本文结合皮质坏死患者的初始预后评估，讨论了该病现代发病机制理论的影响以及透析可及性的提高。
