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1 临床资料 患者,男,33岁。因慢性肾炎尿毒症8年于1986年7月15日在我院行同种异体肾移植术。供受者血型AB,热缺血时间7 min,恢复肾血流后2 min明显排尿,术后第1天尿量5000 ml。第7天血Cr 106.1 μmol/L。一股情况迅速好转。术后常规应用强的松及硫唑嘌呤等。至1990年2月中旬(距肾移植术3年7个月)无明显诱因突发双足趾剧痛,发绀,难以行走。高热,继有鼻衄,左下肢散在瘀点,入当地医院诊治。血常规检查Hb 42 g/L,RBC 1.6×10~(12)/L,WBC 4×10~9/L,N 0.70,L 0.30。
1 clinical data patients, male, 33 years old. Due to chronic nephritis uremia 8 years in July 15, 1986 in our hospital allograft kidney transplantation. Donor blood type AB, warm ischemic time of 7 min, 2 min after the restoration of renal blood flow significantly urination, urine volume after the first day of 5000 ml. Day 7 blood Cr 106.1 μmol / L. A quick turnaround. Postoperative routine use of prednisone and azathioprine. Until mid-February 1990 (3 years and 7 months after renal transplantation) No obvious cause Sudden pain, cyanosis, hard to walk. High fever, followed by epistaxis, left lower extremity scattered petechia, into the local hospital for treatment. Blood routine examination Hb 42 g / L, RBC 1.6 × 10 12 / L, WBC 4 × 10 ~ 9 / L, N 0.70, L 0.30.