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移植肾动脉血管并发症29例报道并文献复习

姜伟 高建 刘彦斌 龙伟 禹猛 杨其顺

姜伟, 高建, 刘彦斌, 等. 移植肾动脉血管并发症29例报道并文献复习[J]. 器官移植, 2015, 6(4): 258-261. doi: 10.3969/j.issn.1674-7445.2015.04.011
引用本文: 姜伟, 高建, 刘彦斌, 等. 移植肾动脉血管并发症29例报道并文献复习[J]. 器官移植, 2015, 6(4): 258-261. doi: 10.3969/j.issn.1674-7445.2015.04.011
Jiang Wei, Gao Jian, Liu Yanbin, et al. Vascular complications of transplant renal artery: a report of 29 cases and literature review[J]. ORGAN TRANSPLANTATION, 2015, 6(4): 258-261. doi: 10.3969/j.issn.1674-7445.2015.04.011
Citation: Jiang Wei, Gao Jian, Liu Yanbin, et al. Vascular complications of transplant renal artery: a report of 29 cases and literature review[J]. ORGAN TRANSPLANTATION, 2015, 6(4): 258-261. doi: 10.3969/j.issn.1674-7445.2015.04.011

移植肾动脉血管并发症29例报道并文献复习

doi: 10.3969/j.issn.1674-7445.2015.04.011
详细信息
    通讯作者:

    高建, Email:gaojian281@yeah.net

  • 中图分类号: R617

Vascular complications of transplant renal artery: a report of 29 cases and literature review

More Information
  • 摘要:   目的  总结移植肾动脉血管并发症的临床特点与治疗经验。  方法  2007年6月至2014年6月解放军281医院收治的322例肾移植患者中, 29例肾移植患者术后出现移植肾动脉血管并发症。对29例移植肾血管并发症患者的临床资料进行回顾性分析, 总结该病的临床特点及治疗经验。  结果  移植肾动脉吻合口出血2例, 移植肾内动脉痉挛23例, 移植肾动脉血栓形成2例, 移植肾动脉狭窄2例。移植肾动脉吻合口出血患者为术后动脉吻合口出血, 予及时手术探查止血。移植肾内动脉痉挛患者, 术中给予抗痉挛处理后移植肾由暗红、质地软转为饱满红润。移植肾动血栓形成患者, 确诊后立即进行手术探查, 移植肾呈暗红色, 恢复血供后仍未恢复正常, 予以切除。移植肾动脉狭窄, 采用球囊扩张及支架置入术, 患者血压恢复正常, 肾功能正常。  结论  移植肾动脉血管并发症进展迅速, 病情变化快且后果严重, 为降低其发生率, 提高治愈率, 积极预防和果断处理十分重要。

     

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出版历程
  • 收稿日期:  2015-03-05
  • 网络出版日期:  2021-01-19
  • 刊出日期:  2015-07-15

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