[肾移植血管血栓形成：9例]
[Vascular trombosis of renal graft: 9 cases].
作者信息
Kaaroud Hayet, Béji Soumaya, Ben Hamida Fethi, Rais Lamia, Ben Abdallah Taieb, El Younsi Fethi, Ben Moussa Fatma, Abderrahim Ezzedine, Bardi Rafika, Ayed Khaled, Chebil Mohamed, Kheder Adel
机构信息
Service de Néphrologie et de Médecine interne, Hôpital Charles Nicolle, Tunisie.
出版信息
Tunis Med. 2008 Apr;86(4):319-21.
BACKGROUND
Allograft renal thrombosis can occur in 1 to 6% of cases. Many predisposing factors has been identified especially alteration of coagulation.
AIM
We analyzed in this study frequency and predisposing factors of renal graft thrombosis.
METHODS
We report a retrospective study including 319 renal transplant recipients.
RESULTS
Nine patients (2.8%) presented veinous graft thrombosis in 5 cases and arterial thombosis in 4 cases. There were 6 men and 3 women aged of 30.6 years meanly (10-56) which developed the thrombosis 6 days (1-48) after the transplantation. All patients were detransplanted after 16.2 days and 1 patient died.
CONCLUSION
Thrombosis constitute an important cause of graft loss. A perfect surgical technic and prophylactic treatment in high risk patients are necessary to reduce this complication.
背景
同种异体肾移植血栓形成的发生率为1%至6%。已确定许多诱发因素，尤其是凝血功能改变。
目的
本研究分析肾移植血栓形成的发生率及诱发因素。
方法
我们报告一项包括319例肾移植受者的回顾性研究。
结果
9例患者（2.8%）出现移植静脉血栓形成5例，动脉血栓形成4例。患者中6例男性，3例女性，平均年龄30.6岁（10 - 56岁），血栓形成于移植后6天（1 - 48天）。所有患者在16.2天后均被摘除移植肾，1例患者死亡。
结论
血栓形成是移植肾丢失的重要原因。为减少这一并发症，需要完善的手术技术及对高危患者进行预防性治疗。
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