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題 名 | Cholesterol Crystal Embolization Causing Acute Renal Failure=膽固醇結晶栓塞引起之急性腎衰竭 |
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作 者 | 呂理哲; 江守山; 張宗興; 楊安航; | 書刊名 | 中華醫學雜誌 |
卷 期 | 63:1 2000.01[民89.01] |
頁 次 | 頁82-86 |
分類號 | 415.815 |
關鍵詞 | 急性腎衰竭; 膽固醇結晶栓塞; 網狀青斑; Acute renal failure; Cholesterol crystal embolization; Livedo reticularis; |
語 文 | 英文(English) |
中文摘要 | 在嚴重動脈硬化之病人中,膽固醇結晶栓塞常會併發急性腎衰竭,它有時是自然 發生的,然而更多是由內科或外科治療所引起的,例如血管成型術和血管手術。在組織標本 中發現膽固醇結晶是最典型的病理發現。在臨床上,腎臟膽固醇結晶栓塞可由高危險性病人 出現腎衰竭併有皮膚缺血之臨床表現而加以臆斷。 我們在此報告 2 個膽固醇結晶栓塞病例 , 他們均有併發急性腎衰竭,且在腎臟與皮膚切片檢查中發現有膽固醇結晶栓塞。 其中 1 位的腎功能稍後穩定,但未回復原來的水平; 而另 1 位則進入末期腎衰竭階段,需接受血 液透析治療。 |
英文摘要 | Acute renal failure due to cholesterol embolization is a complication of severe generalized arteriosclerotic disease. It occurs spontaneously, or more often, as a complication of major medical or surgical procedures such as angiography and vascular surgery. The demonstration of characteristic cholesterol crystals in tissue biopsy specimens is a pathognomonic finding. However, renal cholesterol embolism may be clinically diagnosed when renal failure develops after known inciting factors or together with systemic manifestations of atheromatous embolization such as lower extremity livedo reticularis and focal digital ischemia. We report two cases of acute renal failure in which cholesterol embolization was found in skin and renal biopsies. One patient's renal function stabilized, but not to the basal level and the other patient developed end-stage renal disease. |
本系統中英文摘要資訊取自各篇刊載內容。