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长期以来,一直误认为新生儿肾静脉血栓(NRVT)是一种罕见病,必需依赖于尸解才能确诊。但近20余年来,NRVT的报道显见增多。发病前多有脱水及血粘度增加等病因及诱因,或母亲有糖尿病。临床表现:肾肿大、血尿和血小板减少。超声检查有肾脏增大,回波先弱后强,皮质和髓质界限消失,肾钙化、皱缩或萎缩。目前,治疗主要采取补液、纠正电解质紊乱及根治原发病的保守支持疗法,并已获得80%以上存活的可喜疗效。
Has long been mistaken for neonatal renal vein thrombosis (NRVT) is a rare disease, must rely on the autopsy can be confirmed. However, the reports of NRVT have been increasing in recent 20 years. Pre-onset dehydration and more blood viscosity and other causes and incentives, or mothers have diabetes. Clinical manifestations: nephrotic, hematuria and thrombocytopenia. Sonography increased ultrasound, the first weak echo after strong, cortical and medullary boundaries disappear, renal calcification, shrinkage or atrophy. At present, the treatment mainly rehydration, electrolyte imbalance correction and cure the primary disease of the conservative supportive therapy, and has received more than 80% of the survival of the curative effect.