移植肾血栓形成3例报告

目的：总结移植肾血栓形成的病因、临床表现、诊断、治疗及预后。方法：回顾分析移植肾动脉血栓形成２例，静脉血栓形成１例的临床资料。结果：１例行移植肾切除术；１例肾动脉取栓术后因未能挽救移植肾功能而最终切除；１例移植肾切除后，即刻在同侧行第２次肾移植术，并取得成功。结论：外科技术失误为其最主要的原因，另外还与高龄、幼儿、女性供体，动脉粥样硬化或狭窄，缺血时间过长等有关。动脉血栓形成主要表现为突发的无尿，

Renal graft thrombosis (Report of 3 cases)

Purpose:We discussed the etiology,clinical manifestation,diagnosis, therapy and prognosis of renal graft thrombosis (RGT).Methods:3 cases of RGT(2 arterial and 1 venous) were reported.Results:2 cases underwent nephrectomy of graft, and the another one underwent renal transplantation once more.Conclusions:In addition to the both extremes of donor age, female donors, and prolonged total ischemic time, surgical technique remains the most important cause of graft thrombosis. Sudden anuresis was the main feature of arterial thrombosis, while venous thrombosis was characterized by sudden anuresis and renal graft pain even graft rupture. RGT most occurred within 2 days after renal transplantation and was the important cause of early graft losses. 1 year graft survival was less than 3%. Therapeutic management include anticoagulatic, thrombolytic therapy and surgical procedure such as removal of thrombosis and renal graft resection. Early prevention is more important than the treatment of thrombosis.