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内科治疗肾病综合症引起的大量蛋白尿、低蛋白血症,常较困难,用切除病肾的外科疗法,患者多不能耐受。作者用双肾动脉栓塞治疗1例严重的肾病综合症引起的难以控制的蛋白尿,获满意效果。患者男,67岁。蛋白尿30年,消瘦、颜面及下肢水肿,因尿毒症入院行血透。化验检查为重度低蛋白血症及尿毒症,经血透后尿量减少,但蛋白尿仍未减轻。作者采用组织吸收性明胶(Gelform),作选择性双肾动脉栓塞,术中见双肾动脉呈硬化性X线改变,注入栓塞
Medical treatment of nephrotic syndrome caused by a large number of proteinuria, hypoproteinemia, often more difficult to remove the disease with surgical treatment of kidney disease, patients can not tolerate. The authors treated with renal artery embolization of a case of severe nephrotic syndrome caused by uncontrolled proteinuria, satisfactory results. Patient male, 67 years old. Proteinuria 30 years, weight loss, facial and lower extremity edema, due to uremia hospitalized hemodialysis. Laboratory tests for severe hypoalbuminemia and uremia, urinary output decreased after hemodialysis, but proteinuria has not been reduced. The authors used the tissue absorbent gelatin (Gelform) for selective renal artery embolization, intraoperative renal arteries seen sclerosis X-ray changes, embolization