肾移植术后早期非典型溶血性尿毒症综合征复发一例报告  

Early recurrence of atypical hemolytic uremic syndrome after renal transplantation:a case report

作　　者：裴广辉[1] 王克宸 史晓峰[1] 涂金鹏[1] 付迎欣[1] 莫春柏[1] Pei Guanghui;Wang Kechen;Shi Xiaofeng;Tu Jinpeng;Fu Yingxin;Mo Chunbai(Department of Kidney Transplantation,Tianjin First Central Hospital,Tianjin 300192,China)

机构地区：[1]天津市第一中心医院肾脏移植科,300192

出　　处：《中华泌尿外科杂志》2020年第10期788-789,共2页Chinese Journal of Urology

摘　　要：非典型溶血性尿毒症综合征(aHUS)是一种罕见病,肾移植术后复发率高,移植肾预后差。本文回顾性分析1例肾移植术后早期aHUS复发患者的临床资料,总结临床经验。本例虽经血浆置换、静脉滴注丙种球蛋白、利妥昔单抗封闭B淋巴细胞、激素冲击等治疗,仍然出现移植肾功能衰竭,考虑为aHUS引起终末期肾病。因此,对肾移植患者应充分评估术后aHUS复发风险。To summarize the clinical experience regarding a patient with early recurrence of atypical hemolytic uremic syndrome(aHUS)after renal transplantation.AHUS is a rare disease with high recurrence rate and poor prognosis.Although the patient was treated with plasma exchange,intravenous gamma globulin,rituximab block B lymphocyte,hormone shock and so on,he still suffered renal transplantation failure.The risk of aHUS recurrence after renal transplantation should be fully evaluated.

关 键 词：肾移植 非典型溶血性尿毒症综合征 血栓性微血管病 

分 类 号：R699.2[医药卫生—泌尿科学] R692.5[医药卫生—外科学]