Effect and prognosis following interventional treatment of acute renal infarction

doi:10.3877/cma.j.issn.2095-5782.2016.01.005

Abstract

Abstract:

Objective

To evaluate the clinical characteristics of acute renal infarction and endovascular interventional therapy in treating acute renal infarction.

Methods

Since 2012 to 2014, 5 cases of renal artery occlusion were encountered in our hospital. Renal arterial suction and thrombolytic therapy were immediately carried out immediately after the diagnosis was confirmed.

Results

Based on clinical manifestations, enhanced CT scan and angiography, the diagnosis of acute renal infarction was definitely confirmed in all 5 patients.1 patient underwent the medicine conservative treatment, the renal infarction did not change well at all; 4 patients underwent interventional therapy, and clinical symptoms relived with the blood flow in infracted area completely or partially returned to normal in 3 cases. The other 1 case lost the renal.

Conclusions

The early confirmation of diagnosis and prompt interventional therapy arecritical for rescue of the acute renal infarction.

Key words: Acute renal infarction, Interventional therapy, Thrombolytic therapy, Thrombus aspiration

Peng Wu, Hanwei Chen. Effect and prognosis following interventional treatment of acute renal infarction[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2016, 04(01): 17-20.

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Figures/Tables 2

References 11

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病例	性别	年龄（岁）	临床表现	就诊时间	合并症	血白细胞（×10⁹/L）	尿红细胞	尿蛋白	血肌酐(μmol/L）
1	女	58	左上腹痛、肾区扣痛	10 d	高血压病、肾结石	4.0	+ +	+	78
2	男	50	右侧腰痛、右肾扣痛	15 h	心房纤颤、风心病	10.9	+ + +	+	103
3	男	42	腰痛、发热、双侧肾区扣痛	3 d	未发现	14.4	+	-	71
4	女	69	左上腹痛、呕吐、肾区扣痛	18 h	高血压病、心房纤颤	16.3	+ + +	+ + +	124
5	男	66	右上腹痛、右肾区扣痛	24 h	心房纤颤、陈旧性心梗	18.0	+	+ +	151
病例	影像检查	增强CT	治疗方法	转归	疼痛	血肌酐(μmol/L）	影像学表现
1	血供楔形缺损	多发局肾梗死	肝素抗凝	部分肾梗	缓解	-	无
2	血供楔形缺损	局灶肾梗死	置管溶栓、尿激酶溶栓	溶栓成功	缓解	100	CT肾动脉及分支通畅
3	肾动脉栓塞	局灶肾梗死	血栓抽吸、尿激酶溶栓	部分肾梗死	缓解	78	CT肾局灶性梗死
4	肾动脉栓塞	大面积肾梗死	血栓抽吸、尿激酶溶栓	溶栓成功	缓解	91	彩超肾动脉及分支通畅
5	肾动脉栓	局灶肾梗死	血栓抽吸、尿激酶溶栓	溶栓成功	缓解	85	CT肾动脉分支通畅

病例	性别	年龄（岁）	临床表现	就诊时间	合并症	血白细胞（×10⁹/L）	尿红细胞	尿蛋白	血肌酐(μmol/L）
1	女	58	左上腹痛、肾区扣痛	10 d	高血压病、肾结石	4.0	+ +	+	78
2	男	50	右侧腰痛、右肾扣痛	15 h	心房纤颤、风心病	10.9	+ + +	+	103
3	男	42	腰痛、发热、双侧肾区扣痛	3 d	未发现	14.4	+	-	71
4	女	69	左上腹痛、呕吐、肾区扣痛	18 h	高血压病、心房纤颤	16.3	+ + +	+ + +	124
5	男	66	右上腹痛、右肾区扣痛	24 h	心房纤颤、陈旧性心梗	18.0	+	+ +	151
病例	影像检查	增强CT	治疗方法	转归	疼痛	血肌酐(μmol/L）	影像学表现
1	血供楔形缺损	多发局肾梗死	肝素抗凝	部分肾梗	缓解	-	无
2	血供楔形缺损	局灶肾梗死	置管溶栓、尿激酶溶栓	溶栓成功	缓解	100	CT肾动脉及分支通畅
3	肾动脉栓塞	局灶肾梗死	血栓抽吸、尿激酶溶栓	部分肾梗死	缓解	78	CT肾局灶性梗死
4	肾动脉栓塞	大面积肾梗死	血栓抽吸、尿激酶溶栓	溶栓成功	缓解	91	彩超肾动脉及分支通畅
5	肾动脉栓	局灶肾梗死	血栓抽吸、尿激酶溶栓	溶栓成功	缓解	85	CT肾动脉分支通畅

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