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目的:探讨肾移植术后感染性外动脉移植肾动脉吻合口出血的处理。方法:采用自体髂内动脉片或段修补、串接治疗髂外动脉吻合口大出血。结果:修复后的髂外动脉血流通畅,患侧下肢血供良好。结论:感染性移植肾动脉髂外动脉吻合口出血为肾移植术后严重并发症,单纯缝扎止血常难以奏效,与其他方法比较,自体髂内动脉片或段修补、串接修补缺损的髂外动脉操作简单,效果非常满意。
Objective: To investigate the treatment of anastomotic hemorrhage after transplanted externalized artery in renal transplant recipients after renal transplantation. Methods: Autologous internal iliac artery slice or segment repair, serial treatment of external iliac artery anastomotic bleeding. Results: The external iliac artery was repaired with smooth blood flow and good blood supply was found in the affected lower limbs. Conclusions: The anastomotic hemorrhage of transplanted external iliac arteries of infective allograft renal artery is a serious complication after renal transplantation. Suture hemostasis is often difficult to be performed. Compared with other methods, autologous internal iliac artery slices or segments repair, External artery operation is simple, the effect is very satisfied.