中华器官移植杂志
中華器官移植雜誌
중화기관이식잡지
CHINESE JOURNAL OF ORGAN TRANSPLANTATION
2014年
2期
70-72
,共3页
苗书斋%蔡文利%曲青山%蒋欣%李明
苗書齋%蔡文利%麯青山%蔣訢%李明
묘서재%채문리%곡청산%장흔%리명
肾移植%动脉瘤,假性%毛霉%并发症%供者
腎移植%動脈瘤,假性%毛黴%併髮癥%供者
신이식%동맥류,가성%모매%병발증%공자
Kidney transplantation%Aneurysm,false%Mucor%Complication%Donors
目的 分析接受同一心脏死亡器官捐赠供者供肾移植的2例受者术后发生毛霉感染性假性动脉瘤的诊治经验.方法 对接受同一心脏死亡器官捐赠供者供肾移植的2例受者的临床资料进行回顾性分析.结果 术后1例发生假性动脉瘤行移植肾切除后,病理检查确诊为毛霉感染,经两性霉素B脂质体治疗后痊愈；另1例发生假性动脉瘤行介入及两性霉素B脂质体治疗,后因失血性休克死亡.结论 对于接受同一供者供肾移植的受者发生假性动脉瘤,应高度怀疑毛霉感染,早期进行抗真菌以及手术治疗.
目的 分析接受同一心髒死亡器官捐贈供者供腎移植的2例受者術後髮生毛黴感染性假性動脈瘤的診治經驗.方法 對接受同一心髒死亡器官捐贈供者供腎移植的2例受者的臨床資料進行迴顧性分析.結果 術後1例髮生假性動脈瘤行移植腎切除後,病理檢查確診為毛黴感染,經兩性黴素B脂質體治療後痊愈；另1例髮生假性動脈瘤行介入及兩性黴素B脂質體治療,後因失血性休剋死亡.結論 對于接受同一供者供腎移植的受者髮生假性動脈瘤,應高度懷疑毛黴感染,早期進行抗真菌以及手術治療.
목적 분석접수동일심장사망기관연증공자공신이식적2례수자술후발생모매감염성가성동맥류적진치경험.방법 대접수동일심장사망기관연증공자공신이식적2례수자적림상자료진행회고성분석.결과 술후1례발생가성동맥류행이식신절제후,병리검사학진위모매감염,경량성매소B지질체치료후전유；령1례발생가성동맥류행개입급량성매소B지질체치료,후인실혈성휴극사망.결론 대우접수동일공자공신이식적수자발생가성동맥류,응고도부의모매감염,조기진행항진균이급수술치료.
Objective To analyze the diagnosis and treatment of iliac pseudoaneurysms following renal transplantation.Method The data of two patients with pseudoaneurysm who underwent kidney transplantation were retrospective analysied.Result One case with pseudoaneurysm received transplant nephrectomy,and pathological examination diagnosed mucoraceae infection; the other patient received endovascular treatment and amphotericin B therapy,endly died of hemorrhagic shock.Conclusion The development of pseudoaneurysms at the kidney transplantation recipients with the same donor results in high rates of mucormycosis.They should take anti-fungus therapy and operation as early as possible.
