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摘要: 目的：探讨急性肾梗死的临床特点及诊断和治疗的方法。方法：回顾性分析我院2012~2014年收治的3例急性肾梗死患者的临床资料：3例均通过CT增强扫描明确诊断。2例为非外伤性急性肾梗死，其中1例因梗死时间较长采取内科溶栓治疗，1例及时采取介入溶栓治疗。另外1例为外伤性肾梗死，采取保守治疗。结果：1例梗死时间较长者溶栓治疗无效；1例症状缓解，梗死肾血流完全恢复；1例外伤性肾梗死者复查肾功能正常。结论：急性肾梗死临床表现无特异性，易误诊和漏诊。CT增强扫描是首选的诊断方法；及时行溶栓治疗可提高治疗效率。对于外伤性肾梗死，多数情况采取保守治疗。
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