以急腹症为临床表现的肾动脉栓塞2例并文献复习  

Clinical analysis of 2 cases of renal artery embolism and literature review

作　　者：严丽[1] 周代星[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院急诊内科,武汉430030

出　　处：《临床急诊杂志》2015年第6期479-482,共4页Journal of Clinical Emergency

摘　　要：急腹症以急性腹痛为突出临床表现,其病因复杂,临床表现不一,病情可能在短时间内急骤恶化,甚至造成患者死亡。肾动脉栓塞是引起急腹症的原因之一,临床上极为少见,症状无特异性,极易误诊误治。笔者基于2例肾动脉栓塞患者的临床表现,结合国内外相关文献报道进行回顾分析,以期提高急诊临床工作者对该病的认识和诊治水平。In order to explore the clinical manifestation and diagnosis of the acute abdomen caused by renal artery embolism（RAE）,the authors summarized the clinical data of two cases and presented a literature review.Based on information from these two cases,they found that the clinical manifestation of RAE were diverse and easily confused with other illnesses.Secondly,the diagnosis of abdominal pain were made within 12 hours as a result of correct imaging examination.And they also found that the abdominal pain disappeared and renal function recovered after effective medical intervention.In conclusion,the emergency doctor should consider RAE when patient presented with unknown abdominal pain but do not meet criteria of other disease.

关 键 词：肾动脉栓塞 肾梗死 急腹症 

分 类 号：R543.5[医药卫生—心血管疾病]