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贵州一男子长了4个肾 家族现特殊“双生”遗传

2016-06-18 18:07:06   中国青年报

对于开阳一男子来说,不是问题!6月17日,本报记者在贵阳市金阳医院见到了长有4个肾的王开炼,虽然他已经通过手术切除了一个肾,但现在仍剩有3个功能完好的肾。

更为奇特的是,王开炼的家族存在特殊的“双生”现象,除了他是重复肾之外,他的父亲、奶奶、姐姐都存在多指现象。父亲更是手脚都是6指,手脚指头加起来多达24个。此外,这个家族还出现了双胞胎现象,他们所在村民小组仅179人,就有4对双胞胎。

严重腰疼查出4个肾

王开炼今年28岁,是开阳县花梨镇翁昭村老板凳组人,他的工作是一名职业司机。虽然年纪不算大,但自今年以来,王开炼的腰部经常莫名疼痛。

“最严重时,疼得站都站不起来。”王开炼的二姐王开仙说,经过花梨镇医院检查,影像检查结果显示,王开炼可能患有罕见的“重复肾”。当地医院无法医治,建议王开炼到开阳或贵阳的医院进行治疗。

5月中旬,王开炼被送入贵阳宝山北路的一家三甲医院治疗,经过确诊,王开炼患的是重复肾。“这时我的病情已经很严重了,每天打4针止痛针都不管用。”最后,王开炼选择转院。5月24日,王开炼被送进贵阳市金阳医院泌尿外科,当天被安排住进6号病床。“经过CT、磁共振和泌尿系造影检查,发现他确实长有4个肾,是比较罕见的重复肾。”贵阳市金阳医院泌尿外科学术技术带头人、苏州大学在读医学博士梅傲冰介绍,作为王开炼的主治医生,已有20多年泌尿医学经验的他,也是第一次遇到4个重复肾的病例。

5小时手术成功切除1个肾

梅傲冰拿出王开炼的检查资料向记者介绍:“他的左上肾患有严重的肾积水,覆盖压迫左下肾,合并感染导致腰疼、发烧等一系列病症。”原来,王开炼4个肾每侧两个,各有一个供血系统和排尿系统,每侧的两个肾类似连体婴儿一样长在一起。“正常人的肾跟自己的拳头大小差不多,王开炼的4个肾都比正常人小,只有婴儿拳头那么大。”梅傲冰说,4个肾中,左下肾相对较小,只有正常人的三分之一那么大。

而出现病灶的肾,则是左上肾,里面有大量的积液。根据影像检查结果,积液已致这个肾变得比原来大3至5倍。“如果不及时切除左上肾,他的合并感染会更加严重,且还可能会危及到其它的肾。”梅傲冰说,好在经过半个月的治疗,王开炼的感染控制住了。在此期间,梅傲冰多次研究了手术切除方案,最后决定用最先进,也是最成熟的腹腔镜微创手术切除左上肾。

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