| 摘要: |
| 49岁男性患者，因慢性肾功能衰竭、尿毒症行肾移植术，第一次肾移植术后因移植肾破裂行移植肾切除术，第二次肾移植术后，移植肾供血的左侧髂外动脉吻合口近心段因血栓而闭塞，虽然通过血管介入治疗恢复了左侧髂外动脉和移植肾的血供，但由于移植肾缺血时间较长，最终肾功能并没有恢复正常。通过本病例的探讨，提醒我们：对于血栓高危的移植肾患者，需要警惕供血的髂动脉血栓形成的可能性，从而指导早期诊断与治疗，提高患者预后。 |
| 关键词: 肾移植 髂外动脉 血栓 |
| DOI： |
| 投稿时间：2020-04-14修订日期：2020-04-22 |
| 基金项目: |
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| thrombosis of the left external iliac artery after the second kidney transplantation |
| xuxiaoli,wangzhihui |
| () |
| Abstract: |
| Here we report a case of 49 year-old male who has received kidney transplantation twice because of dialysis-dependent chronic renal disease. Transplant nephrectomy was performed after the first transplantation since spontaneous allograft rupture occurred 7 days after transplant. Then the patient got another kidney transplantation, but followed by thrombosis of the left external iliac artery perfusing the allograft. Though the blood perfusion was recovered by endovascular treatment ,the function of the allograft was lost forever due to the long-lasting ischemic injury. This case reminds us of the risk of thrombosis of the iliac artery anastomosing with the grafted renal artery, especially when the patient is of high risks of thrombosis, so as to enable timely diagnosis and management, then to achieve a better prognosis. |
| Key words: kidney transplantation, external iliac artery, thrombosis |
