The significance of anti-intrarenal artery spasm in renal allografts with unknown ischemia

ZHANG Rong-gui; et al

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The significance of anti-intrarenal artery spasm in renal allografts with unknown ischemia

更新时间：2024-01-17

- The significance of anti-intrarenal artery spasm in renal allografts with unknown ischemia
- Journal of Chongqing Medical University Issue 6, Pages: 745-746(2008)
- 作者机构：
  
  1. 重庆医科大学附属第二医院泌尿外科
  2. 第三军医大学附属新桥医院泌尿外科
  3. 重庆医科大学附属第二医院泌尿外科,重庆,400010
  4. ,重庆,400037
- 作者简介：
- 基金信息：
- DOI：
  CLC： R699
- Published：2008，
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[1]张荣贵,张唯力,叶钢,徐光勇,姜庆.抗肾内动脉痉挛在肾移植术中移植肾不明原因缺血中的应用[J].重庆医科大学学报,2008(06):745-746.

ZHANG Rong-gui, et al. The significance of anti-intrarenal artery spasm in renal allografts with unknown ischemia. [J]. Journal of Chongqing Medical University (6):745-746(2008)
[1]张荣贵,张唯力,叶钢,徐光勇,姜庆.抗肾内动脉痉挛在肾移植术中移植肾不明原因缺血中的应用[J].重庆医科大学学报,2008(06):745-746. DOI：

ZHANG Rong-gui, et al. The significance of anti-intrarenal artery spasm in renal allografts with unknown ischemia. [J]. Journal of Chongqing Medical University (6):745-746(2008) DOI：

摘要

目的:探讨抗肾内动脉痉挛（Intrarenal artery spasm

IRAS）在肾移植术中移植肾不明原因缺血时的应用价值。方法:（1）热敷:用45℃左右的热盐水纱布包敷移植肾

同时间断用手指轻揉移植肾;（2）扩血管药:东莨菪碱（654-2）注射液10～20mg

用皮试针头于肾动脉腔内快速注射

如有效

可重复1～2次;（3）封闭:沿肾动脉外膜向肾窦内注射1%利多卡因5～10ml;（4）术后经外周静脉滴注扩管合剂（5%糖盐水500ml+多巴胺20～40mg+罂粟碱15～30mg）。联合应用抗IRAS方法

观察效果。结果:8例肾缺血完全消失

证实缺血由IRAS引起

8例患者术后肾功能均完全恢复正常。结论:在肾移植术中供肾出现不明原因缺血时采用抗IRAS措施对IRAS病例具有诊断和治疗的双重意义。

Abstract

Objective:To explore the application value of anti-intrarenal artery spasm(IRAS) in renal allografts with unknown ischemia during kidney transplantation. Methods:1. Hot compression:45℃ normal saline gauze was compressed over the grafted kidney and the renal surface was gently rubbed with the fingers;2. Vasodilator:Anisodamine hydrochloride(10～20mg) was injected rapidly into the renal artery. The injection could be repeated one or two times if the blood perfusion of the graft improved;3. Blockage:The adventitia of the renal artery was blocked with 1% lidocaine;4.Dopamine(20～40mg)

papaverine(15～30mg) hydrochloride and 5% glucose in normal saline(500ml) were administered intravenously for three to five days after transplantation. Results:Ischemia disappeared in 8 cases with unknown ischemia reason and the cause was confirmed to be IRAS. Serum creatinine in 8 cases gradually decreased to the normal level on the third to the fifth postoperative days. Conclusion:Anti-IRAS is essential for those with unknown renal ischemia during kidney transplantation

especially for the diagnosis and treatment of IRAS.

关键词

肾移植动脉痉挛

Keywords

kidney transplantationarterySpasm

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