Fibrinolytic therapy for bilateral renal vein thrombosis.

A patient with nephrotic syndrome due to membranous glomerulonephritis experienced painful bilateral renal vein thrombosis (RVT) complicated by pulmonary emboli. He was treated with systemic fibrinolysis with streptokinase for 72 hours. Rapid clinical improvement of his condition, a fall in his serum creatinine level, and a sharp rise in his platelet count were observed. Venography verified complete lysis of the thrombus within the vena cava and reperfusion of the right renal vein. The left renal vein remained chronically occluded. Thrombolytic therapy should be further investigated as initial therapy for patients with clinical evidence of RVT.

由于肺栓塞性复杂的双侧双侧肾静脉血栓形成（RVT），由于膜性肾小球肾炎而引起的肾病综合征患者。他用链霉激酶全身性纤维蛋白溶解了72小时。观察到他的病情快速改善，血清肌酐水平下降以及他的血小板计数急剧上升。 Venography验证了腔静脉中血栓的完全裂解和右肾静脉的再灌注。左肾静脉长期被遮住。溶栓疗法应进一步研究为RVT临床证据的患者的初始治疗。