肾移植术后少尿或无尿的诊治体会  

Diagnosis and treatment of allograft dysfunction after renal transplantation

作　　者：林荣禧[1] 欧良明[1] 陈子宣[1] 林坚[1] 洪佳平[1] 林文洪[1] 吴卫真[1] 杨顺良[1] 

机构地区：[1]南京军区福州总医院泌尿外科,福州350001

出　　处：《临床泌尿外科杂志》1998年第3期112-113,共2页Journal of Clinical Urology

摘　　要：报告尸体肾移植术后发生少尿或无尿患者30例，其中有2例无尿时间长达8～12周。均采取严密观察肾脏血供、常规透析、仔细防治排斥反应等并发症的“积极等待”的方法予以治疗，大部分患者移植肾功能均恢复正常；2例长时间无尿的患者亦恢复了正常肾功能，取得了较好的效果。认为彩色多普勒超声对诊断移植肾少尿或无尿有较大帮助，采用“积极等待”的方法治疗肾移植术后的少尿或无尿可取得较好效果。From 1985 to 1996, 564 patients underwent cadaveric renal transplantation. Oligure sis or anuresis occurred in 30 cases after operation. Of which the time of anuresis was 8~12 weeks in 2 cases. A 'active waiting' therapy was performed including catefully detection of allograft blood supply, hemodialysis, prevention and treatment of rejection, etc. The renal function recovered in most of the patients including 2 cases with 8~ 12 weeks anuresis. It is considered that the color Doppler ultrasound examination is conducive to diagnosis of oliguresis or anuresis. A good curative effect could be achieved using 'active waiting' therapy in the treatinent of oliguresis or anuresis.

关 键 词：肾移植 少尿症 无尿症 

分 类 号：R699[医药卫生—泌尿科学]