无症状双侧肾动脉狭窄致急性肾损伤一例
夏驭龙,龚艳君,盛琴慧
摘要(Abstract):
<正>1临床资料患者女,65岁,主因"发热20余天"入院,患者20余天前无明显诱因出现发热,体温最高38℃,伴盗汗、体重下降,多种抗生素治疗效果不佳。既往有风湿性心脏病、二尖瓣关闭不全、心房颤动病史38年,二尖瓣生物瓣置换术后28年。平素长期口服地高辛0.125 mg,每日1次;螺内酯20 mg,每日1次;阿替洛尔6.25 mg,每日2次;呋塞米60 mg,每日1次治疗。否认冠心病、高血压病史。体格检查:体温36.5℃,脉搏60次/min,血压(BP)93/50 mmH g
关键词(KeyWords): 风湿性心脏病;肾动脉狭窄
基金项目(Foundation):
作者(Author): 夏驭龙,龚艳君,盛琴慧
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