Nghiem D D, Corry R J
Am Surg. 1983 Jul;49(7):392-5.
Seven instances of spontaneous allograft rupture have been identified in a series of 585 renal transplants. Edema from acute rejection was the only common feature found. Prompt diagnosis and intervention were required to control hemorrhage. Criteria for conservative therapy are presented. The use of mattress sutures buttressed with Teflon pledgets and topical hemostatic agent proved successful in two-thirds of the cases. Nephrectomy was performed in one instance where the graft was grossly infected and in another case where hemorrhage could not be controlled. Five of seven patients have enjoyed long-term normal renal function.
在一组585例肾移植中，已发现7例同种异体移植肾自发性破裂。急性排斥反应引起的水肿是唯一发现的共同特征。需要迅速诊断和干预以控制出血。本文提出了保守治疗的标准。使用带聚四氟乙烯棉垫的褥式缝线和局部止血剂在三分之二的病例中被证明是成功的。在1例移植肾严重感染和另1例出血无法控制的情况下进行了肾切除术。7例患者中有5例长期肾功能正常。
