Inferior-vena-caval thrombosis in malignant renal lesions.
Inferior-vena-caval thrombosis in malignant renal lesions.
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恶性肾脏病变中的下腔静脉血栓形成。
DOI：
10.1001/jama.1966.03110240075027
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发表时间：
1966
期刊：
影响因子：
--
通讯作者：
E. Leiter
中科院分区：
文献类型：
--
作者：
E. Leiter
肾肿瘤是与下腔静脉闭塞相关的最常见的恶性肿瘤。阻塞的程度通常在腔静脉的中间三分之一。当除了常见的下腔静脉梗阻症状外，还存在蛋白尿、血尿、肾病综合征或肝功能障碍时，应怀疑中腔静脉闭塞。本文介绍的四个病例说明了临床综合征。静脉尿路造影和下腔静脉x线摄影是最有用的诊断辅助手段。逆行肾盂造影、肾层析成像和肾动脉造影有时是必要的。
Renal tumors are the most common malignancy associated with inferior-vena-caval occlusion. The level of obstruction is usually in the middle third of the vena cava. Middle vena-caval occlusion should be suspected when, in addition to the usual signs of inferior-vena-caval obstruction, the presence of albuminuria, hematuria, nephrotic syndrome, or hepatic dysfunction is demonstrated. Four cases presented here illustrate the clinical syndrome. Intravenous urography and inferior-vena-caval roentgenography are the most useful diagnostic aids. Retrograde pyelography, nephrotomography, and renal arteriography may occasionally be necessary.