Department of Urology, Renmin Hospital of Wuhan University, Wuhan University, Wuhan 430060, China.
Front Med. 2012 Sep;6(3):329-31. doi: 10.1007/s11684-012-0211-9. Epub 2012 Aug 4.
Ischemic postconditioning was defined as rapid intermittent interruptions of blood flow in the early phase of reperfusion, which has been found to be protective against renal ischemia-reperfusion injury (IRI) in animal models but not in clinical trials.We describe a case that the allograft renal vein was twisted because of the surgeon's mistake, which caused the warm ischemia of allograft after reperfusion. The allograft restored blood flow without second reperfusion and cold preservation after 9 min of warm ischemia. The patient was followed up for 3 months and the allograft worked well without complications.
缺血后处理被定义为再灌注早期的血流快速间歇性中断,已在动物模型中发现其对肾缺血再灌注损伤(IRI)具有保护作用,但在临床试验中并未发现。我们描述了一个病例,由于外科医生的失误,移植肾静脉发生扭转,导致再灌注后移植物发生热缺血。在 9 分钟的热缺血后,移植物无需再次再灌注和冷藏即可恢复血流。患者接受了 3 个月的随访,移植物功能良好,无并发症。