介入治疗急性肾梗死的效果评价及预后分析

Effect and prognosis following interventional treatment of acute renal infarction

目的探讨急性肾梗死的临床特点和血管介入的临床应用。方法回顾性分析我院2012—2014年收治的5例急性肾梗死患者的诊治情况。结果 5例患者根据临床症状、CT检查及血管造影均获明确诊断,1例患者行保守治疗后肾梗死无明显好转;4例行肾动脉血栓抽吸及溶栓治疗后,有3例患者症状缓解,梗死灶血流完全或部分恢复,1例患者出现部分肾梗死。结论早期确诊后行介入治疗肾动脉闭塞,对肾功能恢复及预后意义重大。

Objective To evaluate the clinical characteristics of acute renal infarction and endovascular interventional therapy in treating acute renal infarction. Methods Since 2012 to 2014, 5 cases of renal artery occlusion were encountered in our hospital. Renal arterial suction and thrombolytic therapy were immediately carried out immediately after the diagnosis was confirmed. Results Based on clinical manifestations, enhanced CT scan and angiography, the diagnosis of acute renal infarction was definitely confirmed in all 5 patients.1 patient underwent the medicine conservative treatment, the renal infarction did not change well at all; 4 patients underwent interventional therapy, and clinical symptoms relived with the blood flow in infracted area completely or partially returned to normal in 3 cases. The other 1 case lost the renal. Conclusions The early confirmation of diagnosis and prompt interventional therapy arecritical for rescue of the acute renal infarction.