膜性肾病合并肺栓塞一例并文献复习

Membranous Nephropathy Complicated with Pulmonary Embolism: A Case Report and Literature Review

目的:探讨膜性肾病的诊治特点,引起临床医师对膜性肾病相关血栓事件疾病的关注。方法:报告1例我院收治的确诊为膜性肾病合并肺动脉栓塞病人的诊断和治疗过程,并复习相关文献。结果:患者此次伴有胸闷憋气症状,3年前曾有类似发病史,此次最终确诊为肺动脉栓塞,经过抗凝溶栓治疗,肺动脉仍有残余血栓,但胸闷症状明显好转出院。结论:膜性肾病患者出现活动后胸闷憋气症状时,要警惕肺动脉栓塞可能性,必要时行肺动脉CTA可明确诊断。

Objective: To investigate the characteristics of diagnosis and treatment of membranous nephropathy and to arouse clinicians’ attention to thrombotic events related to membranous nephropathy. Methods: This article reported the diagnosis and treatment of a patient with membranous nephropathy complicated with pulmonary embolism, and related articles were reviewed. Results: The patient was accompanied with chest tightness and suffocation symptoms, and had a similar history 3 years ago, and was finally diagnosed as pulmonary embolism. After anticoagulation and thrombolytic therapy, the pulmonary artery still had residual thrombus, but the chest tightness symptoms significantly improved, then the patient was discharged. Conclusion: When patients with membranous nephropathy have symptoms of chest tightness and shortness of breath after exercise, we should be aware of the possibility of pulmonary embolism, and pulmonary artery CTA can make a definite diagnosis if necessary.