Autosomal dominant polycystic kidney disease

Autosomal dominant polycystic kidney disease
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DOI:
10.1056/nejmcp0804458
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发表时间:
2008-10-02
影响因子:
158.5
通讯作者:
Grantham, Jared J.
Grantham, Jared J.
中科院分区:
医学1区
文献类型:
--
作者:
Grantham, Jared J.

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在一场篮球比赛中,一名35岁的健康男子在侧翼被肘击后不久,出现严重的绞痛腹痛,随后出现肉眼血尿。肾脏超声扫描显示双侧多囊肾和肝囊肿。血压是160/100毫米汞。血肌酐浓度为每升0.9毫克(每升80μ摩尔)。在镇痛剂、休息和液体的作用下,疼痛在2天内消退;肉眼血尿在4天内消退,尽管显微镜下的血尿仍然存在。
Shortly after being elbowed in the flank during a basketball game, a 35-year-old healthy man has severe, colicky abdominal pain followed by gross hematuria. A renal ultrasound scan reveals bilateral polycystic kidneys and liver cysts. The blood pressure is 160/100 mm Hg. The serum creatinine concentration is 0.9 mg per deciliter (80 μmol per liter). The pain subsides in 2 days with analgesics, rest, and fluids; the gross hematuria resolves in 4 days, although microscopic hematuria persists.