栓塞为肾病综合征常见并发症之一,成人肾病常见栓塞部位为下肢深静脉和肾静脉,此外报告较多的肠系膜、股、眼等处的动脉栓塞,冠脉栓塞亦有报道,但门静脉栓塞罕见,作者报道一例。 44岁男性患者,既往健康,就诊前五天发现双下肢浮肿,体检除下肢浮肿外全无异常,实验室资料:血浆总蛋白59g/L,白蛋白22g/L,尿蛋白排泄量3.65g/L,血肌酐90μmo/L尿沉渣正常。9天后出现持续性腹部疼痛、呕吐、少尿,腹部触诊满腹压痛,但无外科急腹症情况,肝脾未触及,下肢浮肿较前明显减轻,血总蛋白50g/L白蛋白19g/L尿蛋白10g/L,胆固醇 Embolism is one of the common complications of nephrotic syndrome. The common embolization site of adult nephropathy is deep vein and renal vein of lower extremity. In addition, more arterial embolism of mesenteric, femoral and ocular are reported. Coronary embolism has also been reported. However, portal vein embolism Rare, the authors reported a case. 44-year-old male patient, past health, five days before treatment found edema of lower extremities, physical examination except for lower extremity edema without exception, the laboratory data: total plasma protein 59g / L, albumin 22g / L, urinary protein excretion 3.65g / L, serum creatinine 90μmo / L urine sediment normal. Nine days later, persistent abdominal pain, vomiting, oliguria, abdominal palpation and full abdominal tenderness, but no surgical acute abdomen, liver and spleen untreated, lower extremity edema was significantly reduced compared with the previous, blood total protein 50g / L albumin 19g / L Urine protein 10g / L, cholesterol