Nagy V, Valanský L, Sasinka M, Pisarcíková M, Hulíková M, Schwartzová D, Sokol L, Zachar M
Urologická klinika FNsP, Kosice.
Cesk Pediatr. 1993 Apr;48(4):203-6.
The authors present an account on a neonate with dextro-lateral renal venous thrombosis. They focus attention on the diagnostic and therapeutic procedure and compare it with available data from the literature. Contrary to data in the literature, they did not observe in the acute stage of renal venous thrombosis signs of disseminated intravascular coagulation in peripheral blood. It did not prove possible to elucidate the action of any of the factors leading to the development of renal venous thrombosis. After evidence of permanent functional loss of the right kidney nephrectomy was performed. Histopathological examination provided evidence of obliterating thrombosis of the renal veins with partial recanalization and calcifications. The authors emphasize the necessity of early diagnosis of renal venous thrombosis and adequate treatment based on the revealed findings.
作者报告了一例患有右侧肾静脉血栓形成的新生儿病例。他们重点关注了诊断和治疗过程,并将其与文献中的现有数据进行了比较。与文献数据相反,他们在肾静脉血栓形成的急性期未观察到外周血中弥散性血管内凝血的迹象。未能阐明导致肾静脉血栓形成的任何因素的作用。在证实右肾出现永久性功能丧失后,进行了肾切除术。组织病理学检查证实肾静脉存在闭塞性血栓形成,伴有部分再通和钙化。作者强调早期诊断肾静脉血栓形成以及根据所发现的结果进行适当治疗的必要性。