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镰状细胞病患者肾移植的麻醉

Anaesthesia for renal transplantation in sickle cell disease.

作者信息

Gyasi H K, Zarroug A W, Matthew M, Joshi R, Daar A

机构信息

Department of Anaesthesia, Royal Hospital, Seeb Muscat, Sultanate of Oman.

出版信息

Can J Anaesth. 1990 Oct;37(7):778-85. doi: 10.1007/BF03006536.

Abstract

Sickle cell disease (SCD) is associated with many pathological and functional abnormalities affecting all organ systems. Renal manifestations of SCD may result in end-stage renal disease (ESRD), which can be treated by chronic haemodialysis or renal transplantation. Renal transplantation was successfully performed in a 25-yr-old male with sickle cell beta-thalassaemia and nephrotic syndrome. We present a case report of this patient, a discussion of the renal complications associated with SCD and the perioperative management of a patient with SCD undergoing renal transplantation.

摘要

镰状细胞病(SCD)与影响所有器官系统的许多病理和功能异常相关。SCD的肾脏表现可能导致终末期肾病(ESRD),可通过慢性血液透析或肾移植进行治疗。一名患有镰状细胞β地中海贫血和肾病综合征的25岁男性成功接受了肾移植。我们在此报告该患者的病例,讨论与SCD相关的肾脏并发症以及接受肾移植的SCD患者的围手术期管理。

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