Stummvoll H K, Sinzinger H, Wolf A, Pinggera W F, Leithner C
Med Klin. 1976 Aug 27;71(35):1365-71.
The clinical findings in three patients with renal thrombohemolytic microangiopathy are presented. The triad of microangiopathic hemolytic anemia, disseminated intravascular coagulation and microangiopathic changes of the kidney leading to renal insufficiency is the characteristic feature of this disease. Beside the usual classification based on etiological factors (distinguishing between primary and symptomatic forms) a topographical classification (distinguishing between generalized forms and localized forms occuring in isolated organs) is suggested. The pathogenesis and therapy of this disorder are discussed.
本文报告了3例肾血栓性微血管病患者的临床发现。微血管病性溶血性贫血、弥散性血管内凝血以及导致肾功能不全的肾脏微血管病变三联征是本病的特征性表现。除了基于病因因素的常用分类(区分原发性和症状性形式)外,还建议进行一种地形学分类(区分全身性形式和发生于单个器官的局限性形式)。本文还讨论了该疾病的发病机制和治疗方法。