摘要
移植肾自发性破裂是同种异体肾移植术后早期的一个严重并发症，采用肾包膜多处切开结合止血绫－粘涂胶止血法保肾，并行双滤过法血浆分离术（ＤＦＰＰ）和应用抗胸腺细胞球蛋白（ＡＴＧ）治疗６例严重移植肾破裂患者，止血效果达到１００％，４例肾脏得以保存，２例切除移植肾。认为肾包膜多处切开结合止血绫－粘涂胶止血术是治疗严重移植肾破裂的一个安全。
Renal allograft spontaneous rupture is a dangerous complication after cadaveric kidney transplantation at early stage. Six cases of critical renal allograft rupture with acute renal failure within 812 postoperative days were subjected to multipoint renal capsulotomy and hemostatic satinsticky glue hemostasis in combination with double filtration plasmapheresis and antithymocyte globulin. The hemostatic effective rate was 100%. Renal allograft function in 4 patients were recovered. The remaining 2 cases had to undergo the removal of renal allograft due to other causes. It was considered that multipoint renal capsulotomy and hemostatic satinsticky glue hemostasis graft was a safe, reliable, and simple procedure for the treatment of renal allograft rupture.
出处
《中华器官移植杂志》
CAS
CSCD
1998年第3期164-165,共2页
Chinese Journal of Organ Transplantation
关键词
肾移植
肾破裂
包膜切开止血
Kidney/transplantation\ \ Kidney diseases\ \ Hemostasis, surgical
