van Leusen R, Deenik H E, Buskens F G
Department of Internal Medicine, Rijnstate Hospital, Arnhem, Netherlands.
Neth J Med. 1994 Nov;45(5):221-4.
A young female presented with hypertension and oliguric renal insufficiency caused by fibromuscular dysplasia of the renal arteries. There was a left kidney remnant and a normal-sized right kidney with a retrograde blood supply through capsular arteries. Reconstruction of the occluded right renal artery with autotransplantation of the kidney after 60 days of oliguric renal insufficiency was followed by complete functional repair. Erythropoietin treatment was a great help in the management of this patient who refused blood transfusions because she was a Jehovah's Witness.
一名年轻女性因肾动脉纤维肌发育异常出现高血压和少尿性肾功能不全。存在左肾残端,右肾大小正常,通过包膜动脉有逆行血液供应。在少尿性肾功能不全60天后,对闭塞的右肾动脉进行重建并自体移植肾脏,随后肾功能完全恢复。促红细胞生成素治疗对该患者的管理有很大帮助,该患者因是耶和华见证人而拒绝输血。