肾移植术后淋巴组织增生性疾病1例报道并文献复习  

Post-transplant lymphoproliferative disorders following renal transplantation:a case report and literatures review

作　　者：李颖 刘航 韩猛虎[3] 卫淑润 张鹏 白保亮 王茜[1] 常一阁 LI Ying;LIU Hang;HAN Meng-hu;WEI Shu-run;ZHANG Peng;BAI Bao-liang;WANG Qian;CHANG Yi-ge(Department of Nephrology,Hebei Yanda Hospital,Hebei Province,Langfang065201,China;Department of Urinary Surgery,Beijing Chaoyang Hospital,Capital Medical University,Beijing100020,China;Department of General Surgery,Hebei Yanda Hospital,Hebei Province,Langfang065201,China;Department of Intensive Care Unit,Hebei Yanda Hospital,Hebei Province,Langfang065201,China)

机构地区：[1]河北燕达医院肾内科,河北廊坊065201 [2]首都医科大学附属北京朝阳医院泌尿外科,北京100020 [3]河北燕达医院普外科,河北廊坊065201 [4]河北燕达医院重症医学科,河北廊坊065201

出　　处：《中国当代医药》2020年第34期221-224,共4页China Modern Medicine

摘　　要：淋巴组织增生性疾病是实体器官移植和造血干细胞移植术后出现的一种严重的并发症,其发病率低,临床表现多样且预后较差,目前对此疾病的认识仍较为有限,国内的相关病例报道也较少。本文报道1例肾移植术后发生淋巴组织增生性疾病的病例,并查阅相关文献,探讨了肾移植术后淋巴组织增生性疾病的分类、临床表现、治疗及预后。通过此病例,建议肾内科和泌尿外科医师加强对肾脏移植术后淋巴组织增生性疾病发病的关注,并进行及时有效的处理。Lymphoproliferative disorders are a serious complication after solid organ or hematopoietic cell transplantation.It has low morbidity,versatile clinical manifestations and bad prognosis.At present,the understanding of this disease is still relatively limited,and there are also fewer such reports.This article reports a case of lymphoproliferative disorders after kidney transplantation and consults related literature to discuss the classification,clinical manifestations,treatment and prognosis of lymphoproliferative disorders after kidney transplantation.Through this case,it is recommended that nephrologists and urologist should pay attention to lymphoproliferative disorders after kidney transplantation and make a effective therapy.

关 键 词：肾移植 淋巴组织增生性疾病 小肠破裂 利妥昔单抗 病例报告 

分 类 号：R699[医药卫生—泌尿科学]