| 任小刚,江少波,李玉兵,邬贤德,孙洁.年轻患者急性自发性肾梗死诊疗分析[J].浙江中西医结合杂志,2015,25(8): |
| 年轻患者急性自发性肾梗死诊疗分析 |
| Clinical analysis of acute renal infarction in young patientsXiaogang Ren, Shaobo Jiang, Yubing Li, Xiande Wu, Jie Sun. Department of Urology,Zhejiang Provincial Hospital of Traditional Chinese Medicine,Hangzhou 310006,China |
| 投稿时间：2015-02-22 修订日期：2015-02-22 |
| DOI： |
| 中文关键词: 肾梗死 诊断 治疗 |
| 英文关键词:Renal infarction Diagnosis Treatment |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨年轻患者急性自发性肾梗死的临床特点及诊治方法。方法 对3例年轻患者急性自发性肾梗死的临床特点及诊治方法进行回顾性分析。结果 3例患者均表现为腰腹部疼痛, 无明显肉眼血尿。2例血清乳酸脱氢酶水平及血CRP升高。增强CT和CT动脉造影显示出肾脏梗死病灶。积极中西医联合抗凝护肾治疗疗效满意。结论 年轻患者急性自发性肾梗死更易误诊,增强CT和CT动脉造影是首选的诊断方法。中西医联合抗凝护肾治疗年轻患者急性自发性肾梗死安全有效。 |
| 英文摘要: |
| Objective To investigate the clinical characteristics and the diagnosis and treatment of acute renal infarction in young patients. Methods The clinical characteristics and the diagnosis and treatment of 3 young patients with acute renal infarction were analyzed retrospectively. Results All patients had flank or abdominal pain. No gross hematuria was found in the patients. The level of serum lactate dehydrogenase and CRP was elevated in 2 case. The contrast enhanced CT scan and CT arteriography revealed the infarction focus. Anticoagulant and protective renal treatment with Chinese traditional medicine combined with western medicine relieved the symptoms in all patients. Conclusion Acute renal infarction in young patients is an easily misdiagnosed disease. Contrast enhanced CT scan and CT arteriography are the first choice for the diagnosis. Anticoagulant and protective renal treatment with Chinese traditional medicine combined with western medicine is beneficial and safe to the acute renal infarction in young patients. |
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