论文部分内容阅读
目的探讨急性肾梗死的临床特点和诊治方法。方法回顾性分析2000-02-2010-10海南省人民医院收治的12例急性肾梗死的病例资料。结果持续性腰痛、腹痛是其主要的表现,常伴有恶心、呕吐、低热、血尿、血压高等,化验有酶学水平升高,以血清乳酸脱氢酶(LDH)水平升高明显。CT增强检查诊断率83.4%。结论急性肾梗死临床表现无特异常性,肾区疼痛的患者应考虑到肾梗死,LDH可作为急性肾梗死的筛选指标,CT增强扫描是诊断急性肾梗死的首选方法,肾动脉造影是诊断肾梗死的金标准。
Objective To investigate the clinical features and diagnosis and treatment of acute renal infarction. Methods A retrospective analysis of 2000-02-2010-10 Hainan Provincial People’s Hospital admitted 12 cases of acute renal infarction data. Results persistent low back pain, abdominal pain is its main manifestation, often accompanied by nausea, vomiting, fever, hematuria, high blood pressure, laboratory enzyme level increased to serum lactate dehydrogenase (LDH) levels increased significantly. CT enhanced diagnostic rate of 83.4%. Conclusions The clinical manifestations of acute renal infarction are nonspecific. Renal infarction should be considered in patients with renal pain. LDH can be used as a screening index for acute renal infarction. CT enhanced scan is the first choice for the diagnosis of acute renal infarction. Renal arteriography Infarct gold standard.