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移植肾自发性破裂占全部受肾者的0.3—8.5％,它是肾移植后的一种急性严重并发症,死亡率达9％。鉴于对其治疗意见不一,作者根据自己经验,对其治疗和长期疗效分析报告如下。临床资料夫利德利赫斯哈芬市立泌尿科医院肾移植中心,自1968.3—1980.3月共施行尸体肾同种移植434例,均按公认的标准手术方法进行,未做肾包膜剥离术,热缺血时间为0—50分,平均12分,冷缺血时间5—24小时,平均12小时。本组25例受肾者,在移植术后14天内,发生移植肾自发性破裂26次,以术后第6天出现最多,有一病例在4天内出现破裂2次。21例病人接受过透析治疗,12例病人在破裂时有高血压,血压在160/110毫米汞柱以上,7例病人在此期间正发生严重急性排
Spontaneous renal allograft rupture accounted for 0.3-8.5% of all those who are renal, it is an acute and serious complication after renal transplantation, the mortality rate of 9%. In view of the treatment of different views, the author based on their own experience, the treatment and long-term efficacy of the report are as follows. Clinical data Fidelly Hirschhorn municipal urology hospital kidney transplant center, since 1968.3-1980.3 month cadaveric renal allografts were performed in 434 cases, according to accepted standard surgical methods, did not make renal capsule peeling, Warm ischemic time is 0-50 points, an average of 12 points, cold ischemic time 5-24 hours, an average of 12 hours. The group of 25 patients with renal, within 14 days after transplantation, spontaneous renal graft rupture occurred 26 times to 6 days after the most occurred, there is a case of fracture occurred in 4 days 2 times. Twenty-one patients received dialysis, 12 patients had hypertension at rupture, blood pressure was above 160/110 mm Hg, and seven patients were experiencing severe acute exacerbations during this period