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1 肾病综合征由于凝血和纤溶功能的紊乱,使血液呈高凝状态,病人可表现为多部位、多系统的血栓形成。其中肾静脉血栓形成可高达5～62％。因此,抗凝和溶栓治疗已成为肾病综合征治疗中的一个重要组成部分。笔者曾用肝素治疗肾病综合征并肾静脉血栓形成2例取得成功。现报告如下: 1.1 病例摘要:张某,男,18岁,因颜面及下肢浮肿4月余,以肾病综合征于1987年5月18日入院。发病前半月曾有上感史。查体:T37℃,BP16.63/9.31kPa(110/70mmHg),颜面及下肢明显凹陷性浮肿,心肺无异常,腹平软,肝脾未及,腹水征阳性,双肾区叩痛阴性,尿常规:蛋白#、白细胞+,血常规:Hb103g/L(10.3g％)、
1 nephrotic syndrome due to coagulation and fibrinolysis disorders, the blood was hypercoagulable state, the patient can be manifested as multi-site, multi-system thrombosis. Renal vein thrombosis can be as high as 5 to 62%. Therefore, anticoagulant and thrombolytic therapy have become an important part of the treatment of nephrotic syndrome. I have used heparin treatment of nephrotic syndrome and renal vein thrombosis in 2 cases of success. Now report as follows: 1.1 case summary: Zhang, male, 18 years old, due to facial and lower extremity edema more than 4 months to nephrotic syndrome was admitted on May 18, 1987. Have a sense of history before the onset of the disease. Physical examination: T37 ℃, BP16.63 / 9.31kPa (110 / 70mmHg), facial and lower limb was significantly depressed edema, no abnormal heart and lung, abdominal soft, liver and spleen not ascites, positive signs of ascites, Urine routine: protein #, white blood cells +, blood: Hb103g / L (10.3g%),