肾移植术后感染性移植肾动脉破裂的诊断与治疗

发布时间：2019-05-20 01:25

【摘要】：目的探讨肾移植术后感染性移植肾动脉破裂的诊断与治疗方法。方法收集并分析5例肾移植术后感染性移植肾动脉破裂患者的临床资料。结果 5例均表现为突发移植肾区疼痛、肿胀,移植肾彩色多普勒超声(彩超)检查提示移植肾周血肿。均行手术探查并切除移植肾。取移植肾及移植肾动静脉送细菌、真菌培养,5例均为细菌感染,1例合并真菌感染。3例术后恢复血液透析,等待再次移植;1例因术后并发肺部感染死亡;1例因失血性休克死亡。结论肾移植术后感染性移植肾动脉破裂诊断需结合临床表现及移植肾彩超检查。急诊手术探查和术后特异性治疗是挽救生命的关键。术前预防、术后密切观察有助于避免感染性移植肾动脉破裂的发生。
[Abstract]:Objective to investigate the diagnosis and treatment of renal artery rupture after renal transplantation. Methods the clinical data of 5 patients with ruptured renal artery after renal transplantation were collected and analyzed. Results all the 5 cases showed sudden pain and swelling in the renal transplantation area. Color Doppler ultrasound (color Doppler ultrasound) showed perirenal hematomas. All of them underwent surgical exploration and resection of the transplanted kidney. 5 cases were bacterial infection, 1 case was complicated with fungal infection, 3 cases recovered from hemodialysi after operation, waiting for retransplantation, 1 case died of pulmonary infection after operation, 5 cases were bacterial infection, 1 case was complicated with fungal infection, 1 case was complicated with pulmonary infection, 3 cases recovered from hemodialysi after operation, and 1 case died of pulmonary infection after operation. One case died of hemorrhagic shock. Conclusion the diagnosis of renal artery rupture after renal transplantation should be combined with clinical manifestations and color Doppler ultrasound examination. Emergency surgical exploration and postoperative specific treatment are the key to save lives. Prevention before operation and close observation after operation are helpful to avoid rupture of renal artery in infectious transplantation.
【作者单位】：广州军区广州总医院;
【分类号】：R699.2

【参考文献】