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患者男,65岁。因反复心悸20余年。在我院行心脏电生理检查及心房颤动消融术治疗,术后恢复窦性心律。术后第二天下午患者突发左侧上腹部较剧烈疼痛,阵发性加剧,伴恶心,无呕吐。查体左肾区叩击痛(+)。急诊行腹部超声检查提示:左肾实质内血流较对侧明显减少,左肾动脉管腔内透声欠佳,起始段见血流信号,起始段以远未见明显血流信号(图1),考虑急性左肾动脉栓塞。患者肌酐、D-二聚体正常范围。经肾动脉CTA诊断为左侧肾动脉中远段闭
Male patient, 65 years old. Due to repeated heart palpitations more than 20 years. In our hospital cardiac electrophysiological examination and atrial fibrillation ablation treatment, recovery of sinus rhythm after surgery. On the second day after surgery, the patient developed sudden pain in the upper abdomen and increased paroxysmal nausea and vomiting. Physical examination percussion pain in the left kidney area (+). Emergency abdominal ultrasound examination prompted: the left renal parenchymal blood flow was significantly reduced compared with the contralateral, left renal artery lumen in poor sound, the initial segment see the blood flow signal, the initial segment far no obvious blood flow signal ( Figure 1), consider acute left renal artery embolism. Patients with creatinine, D-dimer normal range. The diagnosis of renal artery CTA middle and distal left renal artery closed