Abstract
Objective To discuss the diagnosis and treatment method for acute renal infarction.Methods The diagnosis and treatment on 4 cases of acute renal infarction were retrospectively analyzed.There were 3 males and 1 female,aged 42-63 years.The symptoms were back and upper abdominal pain,with nausea and vomiting and the time of aching was 1-2 d.2 cases had rheumatic heart disease.1 case had arterial fibrillation history.1 case was healthy formerly.The Doppler ultrasound and CT scan showed focal renal infarction.The lab assay results:blood WBC 9.0-14.5 × 109/L,NEUT 0.77-0.89,urine albumin +-+++,urine RBC--+++,serum LDH 330-540 U/L.All cases were applied with digital subtraction angiography (DSA)and thrombolytic anticoagulant therapy.Results The therapy for 4 cases were successful.4 cases received DSA and thrombolytic therapy.The embolisms were cleared.CT scan showed that the renal infarction of 4 cases were disappeared after 1 week,and the blood perfusion of the infarction lesion was satisfactory.Conclusion Misdiagnosis and missed diagnosis of acute renal infarction are popular in clinic.The diagnosis of the disease mainly depends on Doppler ultrasound and CT.Receiving early DSA and thrombolytic therapy is efficient for acute renal infarction. Key words: Renal infarction; Diagnosis; Treatment
Published Version
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