Diagnosis And Treatment Of Acute Renal Vein Thrombosis

Objective:Renal vein thrombosis(RVT)is a series of pathological changes and clinical symptoms caused by blood stasis in renal vein.This article mainly analysis the treatment of patients with my family situation,and combined with the literature at home and abroad,to discuss the diagnosis and treatment of renal vein thrombosis patients,the clinical scholars put forward effective diagnosis and treatment methods for reference and experience exchange.Methods:From June 2014 to March 2017,We made a retrospective analysis about 9 cases,who was diagnosed with the original RVT,by vascular surgery of the First Affiliated Hospital of Zhengzhou University cavity.The survey includes the misdiagnosis rate and the missed diagnosis of preliminary diagnosis,treatment,complication rate,the duration of hospital stays,curative effect and complications,etc.Results:Among the 9 RVT patient cases,1 case was fist visit misdiagnosed,5 cases were first visit missd diagnosed,6 cases of nephrotic syndrome,1 case of Behcet Syndrome and 2 cases of idiopathic renal vein thrombosis.All the RVT cases used endovascular operation,use Inferior Vena Cava Filiter placement operation if above the renal vein level,7 cases with double/single renal vein catheter thrombolysis contact,2 cases with arterial catheter thrombolysis indirectly,9 cases with long-term standard anticoagulation,7 cases of patients’ symtoms in remission;Take out the filter once the filter were placed within one month,then reexamination the CT/DSA: thrombus were cmpletely removed from 3 cases,more than 50% thrombus were removed from 4 cases,less than 50% thrombus were removed from 2 cases,and no obviously complications were founded.Conclusions:The misdiagnosis rate and the missed diagnosis of preliminary diagnosis of RVT patients are high and the kidney diseases are complicated with RVT.Both of two kinds of diseases need long-term treatment.Applying intracavitary treatment to acute phase of RVT can obviously relieve symptoms,clearance rate of RVT is closely associated with the primary disease.