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糖尿病肾病、肾移植后慢性排斥


动脉粥样硬化伴糖尿病病人,主动脉粥样硬化严重、肾动脉狭窄,肾脏出现结节性肾小球硬化和肾硬化。终末期肾时,可进行肾移植治疗。移植的肾位于盆腔,因为技术上容易实现。通常也无需摘除患病者的肾。本例,病人发生了慢性移植排斥反应,可见移植肾出现局灶性出血、轻度肿胀。
In this case, severe atherosclerosis in a patient with diabetes mellitus led to severe aortic atherosclerosis with renal arterial stenosis as well as nephrosclerosis and nodular glomerulosclerosis of the kidneys. The end stage renal disease was treated with renal transplantation. The transplant kidney is placed in the pelvis because this is technically easier and there is usually no point in trying to remove the native kidneys. In this case, the patient developed chronic rejection and that is why focal hemorrhages are seen and the kidney is slightly swollen.

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