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目的:总结急性肾梗死的临床特点,提高对急性肾梗死的诊断水平。方法:回顾性分析3例急性肾梗死患者的临床资料:男2例,女1例,临床表现为腰和(或)腹部疼痛4小时~2天;均采集病史并给予相关实验室、腹部彩超及上腹部CT增强检查。结果:3例患者血清乳酸脱氢酶(LDH)均有不同程度升高;双肾彩超均未见异常;腹部CT增强检查明确急性肾梗死。结论:急性肾梗死临床少见,因缺乏特异性而易延误诊治。基层医院超声检查对急性肾梗死诊断价值有限但有利于鉴别诊断,及时行CT增强检查有助于早期诊断和指导治疗。
Objective: To summarize the clinical features of acute renal infarction and improve the diagnosis of acute renal infarction. Methods: The clinical data of 3 patients with acute renal infarction were retrospectively analyzed. There were 2 males and 1 females, the clinical manifestations were abdominal pain and / or abdominal pain for 4 hours to 2 days. All patients were collected and related laboratories, abdominal ultrasonography And upper abdominal CT enhanced examination. Results: Serum lactate dehydrogenase (LDH) in 3 patients all increased to varying degrees; no abnormalities were observed in both kidney ultrasound; acute abdominal infarction was confirmed by CT examination of abdomen. Conclusions: Acute renal infarction is rare and may be delayed due to lack of specificity. Primary hospital ultrasound examination of acute renal infarction is of limited diagnostic value but is conducive to differential diagnosis, timely CT enhanced examination contribute to the early diagnosis and guidance of treatment.