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頁籤選單縮合
題名 | Complication of Transplant Nephrectomy-Analysis of 7 Cases and Review of Literature=移植腎切除手術之併發症 |
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作者 | 張信忠; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 24:4 民80.07-08 |
頁次 | 頁769-771 |
分類號 | 416.273 |
關鍵詞 | 移植腎切除手術; 併發症; |
語文 | 英文(English) |
中文摘要 | 移植腎切除是一高危險性之手術,對於巳失去功能之移植腎是否一定要行切除手術則未有定論,本院僅於移植腎失去功能且有臨床上之症狀時才行切除手術,共有七例,其併發症共有傷口血腫(二例),骨盆腔膿瘍(一例),敗血症(二例),大動脈損傷(一例),分析病例及歷史文獻得知下列因素使移植切除手術有如此高之併發症:1. 排斥時之抗排斥治療 2. 病人之凝血機能不全 3. 手術前移植腎有感染或壞死 4. 手術前病人有感染源 5. 移植腎切除後所留下之死腔。 |
英文摘要 | Transplant nephrectomy is a procedure with high mortality and morbidity. Whether routine graft nephrectomy should be done or not for a nonfunctioning Kidney graft is still controversial. We perform transplant nephrectomy only when the nonfunctioning graft showed c1inical symptoms. There were seven such cases in our series. The complications included wound hematoma (2), pelvic abscess (1), sepsis (2), iliacartery injury (1). The factors contribute to this high complication rate including 1), immunosuppression therapy for rejection episodes 2), poor hemostatic status of patient 3), dead space after the graft removal 4), previously necrotic or septic graft and 5), preoperative infection focus. |
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