Lacombe M
Presse Med. 1984 Nov 10;13(40):2425-8.
Thirteen patients were operated on for acute obstruction of the main renal artery (17 kidneys at risk). The operation took place 18 hours to 36 days after the onset of the obstruction. Three nephrectomies were necessary, revascularization was possible in all other cases. Postoperative mortality rate was 15,4%, kidney salvage rate was 64,5%. The function of preserved kidneys was constantly satisfactory. This surgical experience has led us to the following conclusions: acute obstruction of a main renal artery does not necessarily cause renal infarction; viability of the kidney can be maintained over long periods of time thanks to the collateral circulation; neither a functional arrest of the kidney, nor the duration of obstruction must be regarded as signs of renal infarction; no investigation can provide information as to the exact condition of the kidney before surgery; apart from critically ill patients or segmental renal obstruction, treatment should be surgical, irrespective of the time elapsed since onset.
13例患者因主肾动脉急性梗阻接受手术治疗（17个肾脏面临风险）。手术在梗阻发生后18小时至36天进行。3例需要进行肾切除术，其他所有病例均可行血管重建术。术后死亡率为15.4%，肾脏挽救率为64.5%。保留肾脏的功能一直令人满意。这一手术经验使我们得出以下结论：主肾动脉急性梗阻不一定会导致肾梗死；由于侧支循环，肾脏的活力可在很长一段时间内得以维持；肾脏的功能停止以及梗阻持续时间均不应被视为肾梗死的征象；术前没有任何检查能够提供肾脏确切状况的信息；除危重症患者或节段性肾梗阻外，无论梗阻发生后经过了多长时间，均应采取手术治疗。
