肾病综合征并发肺动脉栓塞的诊疗分析  

A report of Nephrotic syndrome complicated with Pulmonary embolism and review of literature

作　　者：柳文晶[1] 李建勋[1] 王群元[1] 

机构地区：[1]中国人民解放军第二六四医院,山西太原030001

出　　处：《基层医学论坛》2016年第8期1029-1031,共3页The Medical Forum

摘　　要：目的加强对肾病综合征并发肺动脉栓塞的认识,提高早期诊断水平,减少误漏诊,降低病死率。方法回顾性分析我院2015年收治的1例原发肾病综合征并发肺动脉栓塞患者的诊疗资料,并复习相关文献。结果本例患者在肾病综合征缓解后,出现气短、休克体征,经D-二聚体及CT肺动脉成像确诊广泛肺动脉栓塞,经肺动脉造影及溶栓取栓术抢救成功,继续抗凝治疗至今,病情稳定。结论肾病综合征并发肺动脉栓塞致死率高,严重影响预后,临床应及时完善相关检查,早诊断、早治疗。Objective To strengthen the understanding of Nephrotic syndrome complicated with Pulmonary embolism in order to improve the early diagnosis,reduce misdiagnosis or missed diagnosis and the mortality rates.Methods Clinical data of one patient with Nephrotic syndrome complicated with Pulmonary embolism was retrospectively analyzed,and the related literature was reviewed. Results After the nephrotic syndrome was relieved,the patient was diagonosis Pulmonary embolism by D-Dimer testing and CT pulmonary angiography and survived after thrombolysis and thrombus removal. Conclusion Clinicians should pay attention to identifying Nephrotic syndrome complicated with Pulmonary embolism.

关 键 词：肾病综合征 肺动脉栓塞 D-二聚体 CT肺动脉成像 溶栓 抗凝 

分 类 号：R692[医药卫生—泌尿科学]