Renal Artery Thrombosis following Lobectomy for Lung Cancer.
Renal Artery Thrombosis following Lobectomy for Lung Cancer.
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DOI：
10.1159/000314838
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发表时间：
2010-07-03
影响因子：
0.8
通讯作者：
Tsilikas C
中科院分区：
文献类型：
--
作者：
Asteriou C;Barbetakis N;Efstathiou A;Kleontas A;Tsilikas C
急性肾动脉血栓形成是一种罕见但非常紧急的情况，需要立即治疗。它的特点是症状不明确，经常误导临床医生。因此，在做出正确诊断之前可能会浪费宝贵的时间。本文介绍了一名 53 岁女性因肺癌接受左上肺叶切除术的病例。术后第三天，患者开始主诉左半胸下侧及附近腰部疼痛。最终诊断为肾动脉血栓，立即开始皮下注射低分子肝素。两周后患者出院，并给予华法林抗凝治疗。六个月后，肾功能仍然令人满意，患者没有任何症状。这可能是英国文献中第一例肺癌肺叶切除术后肾动脉血栓形成的病例。
Acute renal arterial thrombosis is a rare but very urgent situation demanding immediate treatment. It is characterized by unspecific symptomatology which often misleads the clinicians. As a result, precious time can be lost until the correct diagnosis is reached. The case of a 53-year-old female who underwent a left upper lobectomy for lung cancer is presented. On the third postoperative day, the patient began to complain of a flank pain located at the lower side of the left hemithorax and the nearby lumbar area. A renal arterial thrombosis was finally diagnosed and subcutaneous low molecular weight heparin was started immediately. The patient was discharged two weeks later and anticoagulation therapy with warfarin was given. Six months later, renal function remains satisfying and the patient is free of any symptoms. This is probably the first case in English literature of renal arterial thrombosis following lobectomy for lung cancer.