尸肾移植肾功能延迟恢复70例次总结  

Delayed graft function of cadaveric renal transplantation

作　　者：任吉忠[1] 闵志廉[1] 朱有华[1] 何长民[1] 孟钢[1] 齐隽[1] 王卓伟[1] 王立明[1] 

机构地区：[1]第二军医大学附属长征医院肾移植中心,上海200003

出　　处：《中华器官移植杂志》1997年第2期103-104,共2页Chinese Journal of Organ Transplantation

摘　　要：本文介绍我院15年来的尸体肾移植情况：肾移植术后功能延迟恢复（DGF）发生率为5．02％，其原因分别为急性肾小管坏死（ATN）占71．4％，急性排斥（AR）及急性加速性排斥（AAR）反应占20．0％，泌尿系并发症占4．29％，肾动脉吻合口狭窄及急性CSA肾毒性各占1．43％。其预防包括：选择年轻健康供者；缩短热、温缺血时间；保存液中引进钙离子持抗剂；水中避免缩血管药物的应用及避免术后泌尿系并发症的发生；经济条件允许者预防性应用单、多克隆抗体；警惕急性CsA肾毒性及肾动脉吻合口狭窄的发生。The analysis of the clinical data of cadaveric renal transplantation showed the incidence of delayed graft function (DGF) was 5. 02%. The reasons for DGF covered: acute tubular necrosis (ATN) accounting for 71. 43 %, acute and accelerated rejection episodes for 20%, urological complications for 4. 29 %, acute CsA nephrotoxication for 1. 43 % and graft artery anastomotic stenosis for 1. 43%. The preventive methods for DGF included: selecting young healthy donor;shortening heat and warm ischemia time, adding calcium antagonist to preservation liquid; avoiding medication of vasoconstrictive drugs pre- and postoperation, using mono- or polyclone antibodies if financial situation allowed; preventing acute CsA nephrotoxication and graft artery anasto-motic stenosis.

关 键 词：肾移植 功能延迟恢复 病例报告 

分 类 号：R699.2[医药卫生—泌尿科学]