Renal transplantation from rhabdomyolysis in three cases
10.3760/cma.j.issn.0254-1785.2018.11.004
- VernacularTitle:横纹肌溶解症供者的维护与评估及其供肾移植三例
- Author:
Xiaoxiong MA
1
;
Jiangqiao ZHOU
;
Tao QIU
;
Zhongbao CHEN
Author Information
1. 430060,武汉大学人民医院器官移植科
- Keywords:
Deceased donation;
Rhabdomyolysis;
Donor;
Kidney transplantation
- From:
Chinese Journal of Organ Transplantation
2018;39(11):656-659
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarzie the experiences of kidney transplantation from rhabdomyolysis.Methods The surgical procedures and treatment protocols of the kidney transplantation in 3 cases from DD donors who suffered from anuria due to rhabdomyolysis were retrospectively analyzed.Results Three recipients were donated by two donors.When the blood of kidneys is washed out,the color of the kidneys was brown,and when the kidneys restored the blood perfusion,the transplanted kidneys were dark brown.All of these 3 cases had delayed renal function,and 2 recipients who received the kidneys from the same donor secreted the urine 3 weeks after surgery.The creatinine gradually decreased,and they discharged when the renal function was normal.The urine volume in the another recipient was 3000 ml or more per day in the first two days,gradually decreased from the third day,until anuria.We conducted an exploration of the transplanted kidney due to the area of transplantation uplift.We found that the kidney was bright red during the operation,the hematoma was removed and hemostasis was done,the urine volume gradually increased from one week after surgery,and the creatinine levels gradually decreased.After two months the creatinine levels were 103μmol/L.Conclusion For the patients with rhabdomyolysis,their kidneys can be transplanted after active preservation,evaluation of the donor kidney function and blood flow,and the short-term outcome is satisfactory.
