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肾动脉栓塞的手术治疗与药物治疗对比

Surgical versus medical treatment of renal artery embolism.

作者信息

Lacombe M

出版信息

J Cardiovasc Surg (Torino). 1977 May-Jun;18(3):281-90.

PMID:863964
Abstract

Seventy four case reports of acute renal arterial embolism were analyzed, to compare operative and non-operative management of this disease regarding survival and kidney salvage. The mortality was the same (25%), whatever the treatment. Surgery allows a much higher kidney salvage rate, especially whenever an embolus obstructs the main renal artery. Thus, apart from critically ill patients or segmental renal embolism, treatment should be surgical, irrespective of the time elapsed since onset. A short medical preparation will precede the operation.

摘要

分析了74例急性肾动脉栓塞的病例报告,以比较这种疾病的手术治疗和非手术治疗在生存率和肾脏挽救方面的情况。无论采用何种治疗方法,死亡率均相同(25%)。手术能使肾脏挽救率高得多,尤其是当栓子阻塞肾主动脉时。因此,除了危重病患者或节段性肾栓塞外,无论发病后经过了多长时间,均应采用手术治疗。手术前将进行短期的药物准备。

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