摘要
目的:探讨肾移植术后移植肾功能延迟恢复的防治。方法:对13例移植肾功能延迟恢复患者的临床资料进行分析。结果:术后即无尿者2例,11例在术后1周内无尿。急性肾小管坏死者11例,其中发生左心衰1例,发生左心衰及肺部感染1例,急性排斥反应2例。13例患者经综合治疗后,12例肾功能于47 d内恢复到正常,1例略高于正常值。结论:移植肾功能延迟恢复是肾移植术后常见的并发症,应积极预防;一旦发生应采取综合治疗措施。
Objective： To investigate the prevention and treatment of delayed graft function after kidney transplantation. Methods： The clinical datum and means of treatment of 13 cases of delayed graft function were reviewed retrospectively. Results ：Two cases were anuric after surgery,11 cases were anuric in a week after surgery. The reasons for delayed graft function covered,acute tubular necrosis account for 11 cases,in which 1 case showed left heart failure and 1 case did left heart failure accompanied by pulmonary infection. Acute rejection account for 2 cases. By combined therapy of regulating the dose of immunodepressant, applying two dosage of Zenapax and polyclonal antibody ALG, anti-infection and no heparinemia hematodialysis,the renal function of 12 case completely recovered in 47 days, 1 case was slightly higher than normal. Conclusion. Delayed graft function is frequent complication after kidney transplantation, it should be actively prevented; once happened,combined therapeutic measure should be taken.
出处
《实用临床医学（江西）》
CAS
2007年第1期35-38,共4页
Practical Clinical Medicine
关键词
肾移植
移植肾功能延迟恢复
kidney transplantation
delayed renal graft function
