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題 名 | Atheroembolic Renal Disease after a Cardiac Catheterization: A Case Report=動脈粥狀物栓塞性腎病 |
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作 者 | 尤英覽; 李文欽; 陳呈旭; 吳明儒; 鄭志雄; 徐國雄; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷 期 | 20:2 民95.06 |
頁 次 | 頁138-141+158 |
分類號 | 415.815 |
關鍵詞 | 動脈粥狀物栓塞性腎病; 急性腎衰竭; 心導管; Atheroembolic renal disease; Acute renal failure; Cardiac catheterization; |
語 文 | 英文(English) |
中文摘要 | 膽固醇栓子引發腎衰竭的發生率逐漸上升,常因侵入性處置破壞原先穩定的動脈粥樣硬化,使其內的膽固醇結晶暴露出來隨血流阻塞遠端小血管,腎臟小血管阻塞可導致腎功能惡化。然目前並無證實有效的治療方法。本文報導一位76歲男性因為心絞痛住院接受心導管檢查及氣球擴張術,約半個月後出現慢性腎衰竭急性惡化。實驗數據顯示有嗜伊紅性血球增加。腎臟切片確定診斷為動脈粥狀物栓子性腎病。在支持療法下,病人血清肌酐酸十個月後由最高8.5mg/dl降到2.7mg/dl。 |
英文摘要 | Cholesterol crystals could be released from atheromas to the circulation under certain situations, resulting in embolic occlusions of blood vessels all over the body. The kidney is a frequent target organ, and the event is called atheroembolic renal disease. The patient might present an acute or subacute renal failure. No treatment has been definitely proven beneficial yet and the prognosis may be quite dismal. We reported a 76-year-old non-diabetic patient, with history of chronic kidney disease (serum creatinine 1.7 mg/dl as baseline) and hypertension, who developed an acute non-oliguric renal failure half a month after a cardiac catheterization and intervention for his coronary artery disease with non-ionic radiocontrast via the right femoral approach. The renal biopsy confirmed the diagnosis of atheroembolic renal disease by revealing typical cholesterol clefts of atheromatous emboli in intrarenal arteries. Other laboratory results showed a peripheral eosinophilia and proteinuria (daily urine protein of 0.63 g). His serum creatinine returned to 2.7 mg/dl from 8.5 mg/dl 10 months later with supportive treatment only. |
本系統中英文摘要資訊取自各篇刊載內容。