Role of kidney Doppler ultrasonography in the diagnosis and management of anuric kidney failure

被引：2
|
作者：
Zand, Ladan [1 ]
King, Bernard F. [2 ]
Qian, Qi [1 ]
机构：
[1] Mayo Clin, Coll Med, Dept Med, Div Nephrol & Hypertens, Rochester, MN 55905 USA
[2] Mayo Clin, Coll Med, Dept Radiol, Rochester, MN 55905 USA
来源：
CLINICAL NEPHROLOGY | 2014年 / 82卷 / 02期
关键词：
kidney perfusion; Doppler ultrasonography; oliguria; acute kidney injury; ascites; paracentesis; ABDOMINAL COMPARTMENT SYNDROME; CRITICALLY-ILL PATIENTS; INTRAABDOMINAL HYPERTENSION; CLINICAL EXAMINATION; RESISTIVE INDEX; RENAL-FUNCTION; PRESSURE; PARACENTESIS; RESISTANCE;
D O I：
10.5414/CN107765
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Kidney perfusion can be acutely compromised by many factors including reduced systemic blood pressure and elevated intra-abdominal pressure. We present a case of near complete absence of kidney perfusion in a 57-year-old man with heart failure and new onset ascites. The renal perfusion defect was directly detected by Doppler ultrasonography. Immediate decompression with large-volume paracentesis restored the kidney perfusion and kidney function. This case illustrates that renal ultrasonography with Doppler flow analysis in appropriate settings can serve as an important adjunct in the diagnosis and treatment of acute oligo-anuric kidney failure. Timely reversal of the perfusion defect can rescue kidney function.
引用
收藏
页码：122 / 127
页数：6
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