急性肾梗死临床分析

目的探讨急性肾梗死的临床特点及诊治方法。方法对12例急性肾梗死的临床特点及诊治方法进行回顾性分析。结果病人均表现为持续性腰腹部疼痛和高血压,10例出现恶心呕吐,2例有低热,均没有肉眼血尿。10例血清乳酸脱氢酶水平升高。增强CT和CT动脉造影显示出肾脏梗死病灶。11例抗凝治疗缓解了症状,1例行溶栓治疗保留了肾脏功能。结论急性肾梗死是一个容易漏诊或延误诊断的疾病,根据临床表现和实验室检查不足以做出诊断。增强CT和CT动脉造影是急性肾梗死首选的诊断方法。早期溶栓和抗凝治疗对肾脏功能的恢复有帮助。

Clinical Analysis of Acute Renal Infarction

Objective To investigate the clinical characteristics and the diagnosis and treatment of acute renal infarction. Methods The clinical characteristics and the diagnosis and treatment of 12 patients with acute renal infarction were analyzed retrospectively. Results All the patients had persistent left flank or abdominal pain and hypertension. Nausea and vomiting existed in 10 patients and mild fever in 2 patients. No gross hematuria was found in all the patients. The level of serum lactate dehydrogenase was elevated in 10 patients. The contrast-enhanced CT scan and CT arteriography revealed the infarction focus. Anticoagulant treatment relieved the symptoms in 11 patients,and thrombolytic therapy preserved the renal function in 1 patient. Conclusion Acute renal infarction is an easily missed or misdiagnosed disease. Contrast-enhanced CT scan and CT arteriography are the first choice for the diagnosis of acute renal infarction. Early thrombolytic and anticoagulant therapy is beneficial to the recovery of renal function.