2.
急性肾梗死的危险因素和可能的病因
Risk factors and presumed etiologies of acute renal infarction
| Items | Total (n=52) | Hematuria(+) (n=20) | Hematuria(-) (n=32) | Statistics | P |
| Data were presented as number (%). *Fisher’s exact test. ARI, acute renal infarction. | |||||
| Risk factors for ARI | |||||
| Atrial fibrillation | 23 (44.2) | 9 (45.0) | 14 (43.8) | 0.01 | 0.93 |
| Malignancy | 2 (3.8) | 2 (10.0) | 0 (0) | - | 0.14* |
| Hyperlipidemia | 15 (28.8) | 5 (25.0) | 10 (31.3) | 0.23 | 0.63 |
| Homocysteinemia | 5/6 (83.3) | 3/3 (100.0) | 2/3 (66.7) | - | 1.00* |
| Diabetes mellitus | 4 (7.7) | 1 (5.0) | 3 (9.4) | - | 1.00* |
| Hypertension | 26 (50.0) | 13 (65.0) | 13 (40.6) | 2.92 | 0.09 |
| Valvular heart disease | 30 (57.7) | 12 (60.0) | 18 (56.3) | 0.07 | 0.79 |
| Aortic mural thrombus | 6 (11.5) | 2 (10.0) | 4 (12.5) | - | 1.00* |
| Aortic dissection | 2 (3.8) | 1 (5.0) | 1 (3.1) | - | 1.00* |
| Congestive heart failure | 5 (9.6) | 2 (10.0) | 3 (9.4) | - | 1.00* |
| Coronary artery disease | 12 (23.1) | 5 (25.0) | 7 (21.9) | 0.07 | 0.8 |
| Antiphospholipid syndrome | 1 (1.9) | 1 (5.0) | 0 (0) | - | 0.39* |
| Smoking (current/exsmoker) | 20 (38.5) | 9 (45.0) | 11 (34.4) | 0.59 | 0.44 |
| Renal artery stenosis | 17 (32.7) | 4 (20.0) | 13 (40.6) | 2.38 | 0.12 |
| Cerebrovascular disease | 3 (5.8) | 2 (10.0) | 1 (3.1) | - | 0.55* |
| Obesity | 6/35 (17.1) | 1/11(9.1) | 5/24 (20.8) | - | 0.64* |
| Cardiomyopathy | 3 (5.8) | 1 (5.0) | 2 (6.3) | - | 1.00* |
| Etiologies of ARI | |||||
| Thromboembolism | 30 (57.7) | 10 (50.0) | 20 (62.5) | 0.79 | 0.38 |
| In situ thrombosis | 5 (9.6) | 2 (10.0) | 3 (9.4) | - | 1.00* |
| Coagulation dysfunction | 6 (11.5) | 4 (20.0) | 2 (6.3) | - | 0.19* |
| Idiopathic | 0 (0) | 0 (0) | 0 (0) | - | - |
| Unknown | 11 (21.2) | 4 (20.0) | 7 (21.9) | - | 1.00* |