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上海医科大学中山医院肾内科应用CT技术,对60例肾病综合征病人进行了检查,发现12例有肾静脉血栓形成,并经选择性肾血管造影确诊。 该12例病人肾静脉在CT扫描中显示有密度减低的血栓形成,对病人肘静脉和肾静脉血中的纤维蛋白裂解产物、抗凝血因子Ⅱ、第八因子相关抗原、纤维蛋白原的检测结果提示,病人血液处于高凝状态。于1小时内分别在肾静脉和肾动脉中分次给7例和5例病人注射尿激酶20万单位,同时每日服华福林2.5mg,潘生丁75mg及泼尼松40mg(3例局灶硬化
Zhongshan Hospital of Shanghai Medical University, Department of Nephrology, CT technology, 60 cases of nephrotic syndrome patients were examined and found that 12 cases of renal vein thrombosis, and confirmed by selective renal angiography. The renal vein of the 12 patients showed reduced density of thrombosis on CT scans and the detection of fibrin cleavage products, anti-coagulation factor II, factor VIII-related antigens, fibrinogen in the patient’s cubital vein and renal vein blood The results suggest that the patient’s blood hypercoagulable state. Intravenous and renal arteries in 7 hours and 5 patients were injected with 200000 units of urokinase in one hour respectively. At the same time, we took 2.5mg of warfarin, 75mg of dipyridamole and 40mg of prednisone in 3 hours hardening