3.

急性肾梗死患者的诊断、治疗和预后

Diagnosis, treatment and prognosis of patients with acute renal infarction

Items	Total (n=52)	Hematuria(+) (n=20)	Hematuria(-) (n=32)	Statistics	P
Data were presented as means±SD, or number (%), or median (range). *Fisher’s exact test. CT, computed tomography; MRI, magnetic resonance imaging; eGFR, estimated glomerular filtration rate.
Time from hospital presentation to diagnosis/h	41.5 (2.0, 552.0)	24.0 (2.0, 552.0)	48.0 (2.0, 408.0)	0.39	0.70
Diagnostic methods
Contrast-enhanced CT	47 (90.4)	19 (95.0)	28 (87.5)	-	0.64*
Ultrasound	0 (0)	0 (0)	0 (0)	-	-
MRI	0 (0)	0 (0)	0 (0)	-	-
Angiography	5 (9.6)	1 (5.0)	4 (12.5)	-	0.64*
Treatment
Anticoagulation	25 (48.1)	10 (50.0)	15 (46.9)	0.05	0.83
Antiplatelet	2 (3.8)	0 (0)	2 (6.3)	-	0.52*
Systemic thrombolysis+anticoagulation	9 (17.3)	6 (30.0)	3 (9.4)	-	0.07*
Catheter-directed thrombolysis+anticoagulation	7 (13.5)	2 (10.0)	5 (15.6)	-	0.69*
Interventional therapy+anticoagulation	1 (1.9)	0 (0)	1 (3.1)	-	1.00*
Interventional therapy+antiplatelet	4 (7.7)	1 (5.0)	3 (9.4)	-	1.00*
Surgery+anticoagulation	0 (0)	0 (0)	0 (0)	-	-
No	4 (7.7)	1 (5.0)	3 (9.4)	-	1.00*
Prognosis
Duration of symptom after treatment/d	3 (1, 12)	4 (1, 12)	3 (1, 9)	-0.81	0.43
Median time of hospital stay/d	13 (2, 64)	18 (3, 64)	11 (2, 42)	-1.35	0.18
Inhospital mortality	0 (0)	0 (0)	0 (0)	-	-
Creatinine/(μmol/L), discharge	102.0 (60.0, 1 043.0)	111.0 (66.0, 896.0)	99.0 (60.0, 1 043.0)	-1.46	0.15
eGFR/[mL/(min·1.73 m2)], discharge	64.6±29.3	57.4±30.6	68.8±28.2	1.25	0.22
Dialysis-dependent, follow-up	4 (7.7)	2 (10.0)	2 (6.3)	-	0.63*
Creatinine/(μmol/L), follow-up	116.6±20.9	118.8±23.4	113.7±18.5	0.47	0.65
eGFR/[mL/(min·1.73 m2)], follow-up	52.8±15.3	52.3±14.7	53.4±17.2	-0.14	0.90