Zima T, Chábová V, Tesar V, Gorican K
I. ústav lékarské chemie a biochemie, Praha.
Cas Lek Cesk. 1996 Aug 21;135(16):530-3.
Thromboembolic complications of nephrotic syndrome are very frequent. They can occur in the arterial or venous circulation. Venous thromboses are frequently asymptomatic and are manifested only by pulmonary embolism. Thrombosis of the renal vein may be dramatic and include renal failure. For the diagnosis various isotope, X-ray and ultrasound methods are used. Anticoagulation or thrombolytic treatment is used; in some instances also thrombectomy may be used. In patients with albumin levels lower than 20-25 g/l prophylactic administration of acetylsalicylic acid is useful. The clinical picture and therapeutic procedure are demonstrated on three brief case-histories.
肾病综合征的血栓栓塞并发症非常常见。它们可发生于动脉或静脉循环。静脉血栓形成通常无症状，仅表现为肺栓塞。肾静脉血栓形成可能很严重，包括肾衰竭。诊断采用各种同位素、X线和超声检查方法。采用抗凝或溶栓治疗；在某些情况下也可采用血栓切除术。对于白蛋白水平低于20 - 25 g/l的患者，预防性给予乙酰水杨酸是有用的。通过三个简短的病例史展示了临床表现和治疗过程。
