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溃疡性动脉(A)粥样化的胆固醇(ch)结晶引起小A栓塞各临床表现中以肾栓塞(RE)的最常见。本文13例RE均嗜烟男性,系1981.1-1988.4某院住院者。同期该院>60岁肾衰老人肾活检和尸检RE分别为1.4%和4.2%。平均69.6岁(60～83岁)。有心、脑血管病、下肢A病(10),高ch血症(6),高甘油三酯血症(9)。A造影的8例中主A全有溃疡性A粥样斑主AA瘤(3),管腔狭窄过半者(3)。 13例中急性肾衰(ARI)。慢性肾衰(CRI)和只有镜下血尿者分别为(6)、(6)、(1)。RE都经组织学确诊。ARI组其前都有CRI,ARI发生于A造影后3～5天或数周各(2),内(1)曾抗凝。ARI具有4～8周内逐步形成、蛋
Ulcerating Arterial (A) Atherogenic Cholesterol (ch) Crystallization Causes Small A-embolism The most common renal embolism (RE) in each clinical manifestation. This article 13 cases of RE are addicted to male, Department of hospital from 1981.1-1988.4 hospitalized. Over the same period the hospital> 60-year-old renal renal biopsy and autopsy RE were 1.4% and 4.2%. Average 69.6 years old (60 to 83 years old). Heart, cerebrovascular disease, lower extremity A disease (10), hyperchlaemia (6), hypertriglyceridemia (9). A in 8 cases, the main A all the ulcer A plaque AA tumor (3), more than the stenosis (3). Thirteen cases of acute renal failure (ARI). Chronic renal failure (CRI) and only microscopic hematuria were (6), (6), (1). RE are histologically diagnosed. ARI group had CRI before, ARI occurred in A 3 to 5 days after imaging or weeks (2), (1) had anticoagulation. ARI gradually formed in 4 ~ 8 weeks, eggs