| 淡明江1,2 吕军1△ 聂海波1 朱云松1 王尉1 童亮1 吴浩明1.肾移植术后移植肾动脉破裂4 例及文献复习[J].现代生物医学进展英文版,2012,12(5):913-914. |
| 肾移植术后移植肾动脉破裂4 例及文献复习 |
| Four Cases of Renal Graft Artery Rupture after Renal Transplantationand Literature Review |
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| DOI： |
| 中文关键词: 肾移植 肾动脉破裂 |
| 英文关键词: Kidney transplantation Kidney artery rupture |
| 基金项目: |
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| 中文摘要: |
| 目的：提高肾移植术后移植肾动脉破裂的诊治水平。方法：回顾性分析临床所见4 例肾移植术后移植肾动脉破裂诊治并复
习国内外病例文献资料。结果：移植肾动脉破裂口均不在吻合口,离吻合口距离为0.5~0.8cm；破裂原因：3 例为霉菌感染，1 例为细
菌感染；经行移植肾切除和抗真菌、抗菌治疗后，2 例受者恢复血透，1 例因术中肺梗塞死亡，1 例因失血性休克而死亡。结论：移植
肾动脉破裂临床上较少见，后果严重，不仅会影响到移植肾功能，更可能危及病人生命，早期诊断、紧急手术探查和特异性治疗可
改善预后，挽救患者生命。 |
| 英文摘要: |
| Objective: To improve the diagnosis and treatment of the rupture of kidney graft artery after renal transplantation.
Methods: The cause of disease,clinical manifestations,surgical findings,treatment and pathological characteristics of four cases with
rupture of kidney graft artery were retrospectively analyzed.Results:The rupture positions of graft artery were 0.5cm to 0.8 cm far from
the position of anastomosis.Our findings revealed that 3 cases of graft artery were infected due to aspergilluses and 1 due to bacteria, the
diagnoses were confirmed by pathological examination.2 cases were returned to hemodialysis ,1 was dead with fungal sepsis ,1 was dead
with hemorrhagic shock after the removement of kidney transplant and admin-istration of anti-fungal agents and antiseptics.Conclusion：
Rupture of kidney graft artery is an uncommon complication after renal transplantation. It will not only affect renal function, but are more
likely to endanger the patient's life.Early diagnosis, Emergency surgical exploration and initiation of specific treatment in addition to graft
nephrectomy may improve the prognosis of this complication. |
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