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1病例介绍患者男,34岁。因慢性肾小球肾炎、慢性肾功能不全尿毒症期于2012年10月在广州军区广州总医院行同种异体肾移植术。心脏死亡供肾,手术方式采用髂外动脉与供肾动脉端侧吻合。术后患者病情平稳,血肌酐逐渐下降,无感染征象。术后10 d,血肌酐降至236μmol/L,患者突发移植肾区疼痛,血压降低至90/55 mm Hg(1 mm Hg=0.133 kPa),心率125次/min,超声检查提示移植肾周血肿。立即行探查术,术中发现移植肾周围陈旧性血凝块(约150 g),彻底清除血凝块后探查未见明显出血点,保留移植肾。探查术后1 h切口引流管引流出2 000 mL新鲜血液,患
1 case description Patient male, 34 years old. Due to chronic glomerulonephritis, chronic renal insufficiency uremia in October 2012 in Guangzhou Military Region, Guangzhou General Hospital line allograft kidney transplantation. Cardiac death for the kidney, the surgical approach using the external iliac artery and renal artery anastomosis. Postoperative patients with stable disease, serum creatinine gradually decreased, no signs of infection. At 10 days after operation, the serum creatinine dropped to 236 μmol / L. The pain of sudden renal allograft in the patient was decreased. The blood pressure was reduced to 90/55 mm Hg (1 mm Hg = 0.133 kPa) and the heart rate was 125 beats / min. hematoma. Immediate exploration exploration surgery, intraoperative findings of old blood clots around the kidney (about 150 g), thorough removal of blood clots no obvious bleeding exploration point, to retain the graft. 1 h after exploration incision drainage tube drainage of 2 000 mL of fresh blood, suffering from