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目的探讨肾移植患者下肢深静脉血栓的成因及防治。方法总结分析作者医院肾移植术后发生下肢深静脉血栓的38例患者的发病原因、诊断依据、预防措施及治疗效果。结果依据病史、超声确诊的38例患者经及时的治疗,在3~20d(平均6d)内,患肢肿胀基本消退,彩色多普勒超声复查示广泛侧枝循环建立。结论肾移植患者有引发下肢深静脉血栓的较多危险因素,彩色多普勒超声是最佳诊断措施,规范及时的抗凝、祛聚、溶栓治疗可取得满意效果。对高危患者可采取一定的预防措施。
Objective To investigate the causes and prevention of deep vein thrombosis in patients with renal transplantation. Methods The causes, diagnosis, prevention and treatment of 38 patients with deep venous thrombosis of lower extremity after renal transplantation were analyzed and summarized. Results According to the history and ultrasonography, 38 patients were diagnosed by timely treatment. The swelling of limbs subsided within 3 ~ 20 days (mean 6 days), and extensive collateral circulation was established by color Doppler sonography. Conclusion There are many risk factors of renal vein graft in patients with lower extremity deep vein thrombosis. Color Doppler ultrasonography is the best diagnostic measure, and the timely and standard anticoagulant, dispelment and thrombolytic therapy can achieve satisfactory results. For high-risk patients can take some precautionary measures.