肾移植患者下肢深静脉血栓的成因及防治

南方医科大学学报 ›› 2004, Vol. 24 ›› Issue (12): 1342-1345.

肾移植患者下肢深静脉血栓的成因及防治

于立新, 李川江, 邓文锋

南方医科大学南方医院器官移植科, 广东, 广州, 510515

出版日期:2004-12-20 发布日期:2004-12-20
基金资助:
收稿日期:2004-6-19。
作者简介:YU Li-xin (1950- ), physician-in-chief, professor of medicine, specialized in the research of organ transplantation and urinary surgery, Tel: 020-61641720

Deep venous thrombosis in the lower extremities following renal transplantation: causes and management

YU Li-xin, LI Chuan-jiang, DENG Wen-feng

南方医科大学南方医院器官移植科, 广东, 广州, 510515

Online:2004-12-20 Published:2004-12-20

摘要/Abstract

摘要： 目的探讨肾移植患者下肢深静脉血栓的成因及防治。方法总结分析作者医院肾移植术后发生下肢深静脉血栓的38例患者的发病原因、诊断依据、预防措施及治疗效果。结果依据病史、超声确诊的38例患者经及时的治疗,在3~20d(平均6d)内,患肢肿胀基本消退,彩色多普勒超声复查示广泛侧枝循环建立。结论肾移植患者有引发下肢深静脉血栓的较多危险因素,彩色多普勒超声是最佳诊断措施,规范及时的抗凝、祛聚、溶栓治疗可取得满意效果。对高危患者可采取一定的预防措施。

Abstract: Objective To investigate the causes, prevention measures and treatment of deep venous thrombosis in the lower extremities (LDVT) following renal transplantation. Method Thirty-eight renal transplant recipients who developed LDVT following the transplantation were analyzed for the causes, evidence for diagnosis, prevention measures and treatment of LDVT. Results The 38 cases were diagnosed by B-mode ultrasound and systemic modical history review and after timely and effective therapy, all the patients recovered between 3 to 20 d, showing evidence of establishment of efficient collateral circulation as found in color Doppler ultrasound examination. Conclusion Following renal transplantation, the recipients are exposed to greater risks of developing LDVT, for which B-mode ultrasound provides the most effective diagnosis. The patients generally respond well to timely interventions with anticoagulation, clot removal and thrombolysis, and preventive measures are indicated in those at high risk of LDVT following transplantation.

中图分类号:

R543.6

于立新, 李川江, 邓文锋. 肾移植患者下肢深静脉血栓的成因及防治[J]. 南方医科大学学报, 2004, 24(12): 1342-1345.

YU Li-xin, LI Chuan-jiang, DENG Wen-feng. Deep venous thrombosis in the lower extremities following renal transplantation: causes and management[J]. Journal of Southern Medical University, 2004, 24(12): 1342-1345.

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