Fergus J N, Jones N F, Thomas M L
Br Med J. 1969 Dec 6;4(5683):587-90. doi: 10.1136/bmj.4.5683.586-a.
Seven patients with atrial fibrillation had acute unilateral renal pain associated with suppression of function in the affected kidney. This was ascribed to renal embolism. Arteriography performed in four patients showed abnormalities in the renal arterial tree in three, though thrombus in a main artery was present in only one.Considerable function returned spontaneously to the affected kidney in six patients as judged by intravenous pyelography or renography. In two patients the sole functioning kidney was affected, leading to acute oliguric renal failure, but renal function recovered in each case. The routine use of anticoagulants in persistent atrial fibrillation is justified by such cases.
7例心房颤动患者出现急性单侧肾区疼痛，同时患侧肾功能受到抑制。这归因于肾栓塞。4例患者进行的动脉造影显示，3例肾动脉树存在异常，尽管只有1例主动脉中有血栓。通过静脉肾盂造影或肾造影判断，6例患者患侧肾脏的功能相当程度上自发恢复。2例患者仅有的一个功能肾受到影响，导致急性少尿性肾衰竭，但每例患者的肾功能均得以恢复。此类病例证明，在持续性心房颤动中常规使用抗凝剂是合理的。
