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肾移植术后血管并发症为6-30%。其发生率虽然比感染和泌尿系并发症少,但由于病情重,治疗困难,死亡率高,应该引起足够的重视。本文就肾动脉狭窄、肾动脉栓塞、静脉栓塞和出血作一简要综述。【肾动脉狭窄】肾动脉狭窄(以下简称RAS)占肾移植病人的5-25%。可出现于肾移植术后数天至数年,但多见于术后2个月以后。主要临床表现为高血压,特别是舒张压的增高,有些病人肾功能逐渐减退,有轻度蛋白尿,或局部可闻及杂音,一般经肾动脉造影可以确诊。Palleschi报告600例肾移植,确诊RAS的有9例,发生于术后2天-22个月。严重高血压4例,高血压合并肾功受损3例,仅
Vascular complications after renal transplantation are 6-30%. Although the incidence of infection and urinary complications than less, but due to serious illness, treatment difficulties, high mortality, should cause enough attention. This article reviews renal artery stenosis, renal artery embolism, venous thrombosis and hemorrhage. Renal artery stenosis Renal artery stenosis (hereinafter referred to as RAS) accounted for 5-25% of kidney transplant patients. Can occur in a few days to several years after kidney transplantation, but more common in 2 months after surgery. The main clinical manifestations of hypertension, diastolic blood pressure in particular, some patients gradually decreased renal function, mild proteinuria, or local audible and murmur, usually by renal artery angiography can be confirmed. Palleschi reported 600 cases of kidney transplantation, diagnosed RAS in 9 cases, occurred in 2 days -22 months after surgery. 4 cases of severe hypertension, hypertension combined with renal damage in 3 cases, only