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相關文獻
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題名 | Tibial Artery Thrombosis in Nephrotic Syndrome: A Case Report and Literature Review=腎病症候群合併脛動脈栓塞:一病例報告與文獻回顧 |
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作者 | 朱輝忠; 林岳宏; 唐煌; Chu, Huei-chung; Lin, Yeuh-hung; Tang, Huang; |
期刊 | 中華民國腎臟醫學會雜誌 |
出版日期 | 19970300 |
卷期 | 11:1 1997.03[民86.03] |
頁次 | 頁30-36+54 |
分類號 | 415.74 |
語文 | eng |
關鍵詞 | 腎病症候群; 動脈栓塞; 易凝狀態; Nephrotic syndrome; Arterial thrombosis; Hypercoagulable state; |
英文摘要 | Thromboembolism is a severe complication of nephrotic syndrome. Common conditions encountered clinicaly include venous thrombosis such as renal vein thrombosis, deep vein thrombosis, or pulmonary embolism. And the common underlying etiology is membranous nephropathy. Peripheral arterial thrombosis is less common than venous thrombosis. We report a 22 year old young man with minimal change disease who happened to have tibial artery thrombosis. The postulated mechanism of thrombogenesis in nephrotic syndrome in cludes platelet hyperaggregation, increased plasma viscosity, fibrinolytic system dysfunction, and complex balance between procoagulants and coagulation inhibitors. But vascular trauma plays a major role in arterial thrombosis as mentioned in much of the literature. Various modalities of therapy have been reported but most lack large series studies. So individualized management is considered at this point of time. |
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