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来自同一供体的肾移植患者术后并发移植肾毛霉菌感染

张善斌 肖劲逐 张国庆 车宪平 陈宁 古军 符仕宝 李德胜

器官移植Issue(5):340-344,5.
器官移植Issue(5):340-344,5.DOI:10.3969/j.issn.1674-7445.2015.05.013

来自同一供体的肾移植患者术后并发移植肾毛霉菌感染

Mucor infection in renal grafts from the same donor after renal transplantation

张善斌 1肖劲逐 1张国庆 1车宪平 1陈宁 1古军 1符仕宝 1李德胜1

作者信息

  • 1. 571300 海口,海南省农垦总医院泌尿外科
  • 折叠

摘要

Abstract

Objective To summarize the diagnosis and treatment experience of mucor infection in renal grafts.Methods Clinical data of two patients with mucor infection in renal grafts from the same kidney donor that finally caused renal graft and renal artery rupture were retrospectively studied,and the relevant domestic and foreign literatures were reviewed. Results and conclusions Mucor infection after renal transplantation has no specific manifestation,thus it lacks of means of early diagnosis and is easy to cause misdiagnosis and missed diagnosis.Mucor infection is easy to cause vascular rupture and the prognosis is poor.Early diagnosis, thorough debridement, timely selection of effective antifungal agent, withdrawal of immunosuppressant and correction of coagulation disorders under the monitor of thrombelastogram may improve the survival rate of such patients.

关键词

肾移植/毛霉菌/毛霉病/动脉瘤血栓/血栓弹力图

Key words

Renal transplantation/Mucor/Mucormycosis/Aneurysm thrombosis/Thrombelastogram

分类

医药卫生

引用本文复制引用

张善斌,肖劲逐,张国庆,车宪平,陈宁,古军,符仕宝,李德胜..来自同一供体的肾移植患者术后并发移植肾毛霉菌感染[J].器官移植,2015,(5):340-344,5.

基金项目

海南省重点科研课题 ()

器官移植

OACSCDCSTPCD

1674-7445

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