Diagnosis and treatment of acute focal renal infarction
10.3760/cma.j.issn.1000-6702.2010.11.010
- VernacularTitle:急性局灶性肾梗死诊疗分析
- Author:
Zhilei QIU
;
Xin BAI
;
Hai ZHU
;
Xiaoqing SUN
;
Jin ZHANG
;
Leiyi ZHU
;
Jiangang GAO
;
Zhijun LIU
;
Bowen WENG
;
Yong JIA
;
Qi WANG
;
Sichuan HOU
- Publication Type:Journal Article
- Keywords:
Renal infarction;
Focalization;
Diagnosis;
Treatment
- From:
Chinese Journal of Urology
2010;31(11):758-760
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review the clinical diagnosis and treatment of acute focal renal infarction. Methods Three cases of focal renal infarction were reported and the literature was reviewed.The patients aged from 45 to 63 years with mean age of 54. Two cases had low back pain, 1 case with abdominal pain. Based on clinical history, B-ultrasonography and CT scan, focal renal infarction was diagnosed in 3 patients. There were 2 cases on left kidney and 1 case right. All cases were applied digital subtraction angiography (DSA) and thrombolytic anticoagulant therapy. Results Two cases received DSA and thrombolytic therapy. The other one case received pethidine 50 mg, progesterone 20 mg treatment, the salvia infusion and low molecular heparin 6000 U anticoagulant therapy. All patients had symtoms relieved after 1 d. A week later CT scan, 3 cases of renal infarction were apparently disappeared. Serum creatinine and urea nitrogen were normal. Three patients were followed, mean follow-up time was 1. 5 (0. 5-2) years. Conclusions The diagnosis of acute focal renal infarction mainly depends on B-ultrasound and CT. Early diagnosis and treatment is important for achieving recovery of the compromised renal function. Renal infarction should be suspected in the presence of abdominal pain of sudden onset.
