摘要
目的:探讨肾移植术后超延迟肾功能恢复治疗的临床效果。方法:收治肾移植术后发生的超延迟肾功能恢复(HDGF)患者20例,对发生肾移植术后HDGF的原因进行分析并探讨治疗方法。结果:肾移植术后超延迟肾功能病因:动脉粥样硬化致移植肾血液灌流不足、环孢素中毒、早期急性排斥反应、供肾热缺血时间过长、术中低血压。术后由少尿期开始进入多尿期时间33～106天,平均44.3±17.42天。结论:移植肾功能延迟恢复是肾移植术后常见的并发症,应尽早行移植肾穿刺活检及移植肾彩超,根据结果采取综合治疗并制订个体化治疗方案。
Objective：To investigate the clini- cal effects after renal transplantation super delay recovery of renal function treatment. Methods： our hospital from February 2003to August 2012,20 patients after renal trans- plantation the HDGF patients,ultra- occur- rence of renal transplant recipients to ana- lyze the causes and explore treatment delay recovery of renal function. Results： Renal transplant recipients ultra delayed renal cau- ses：atherosclerosis induced renal transplan- tation hemoperfusion, cyclosporine toxicity, early acute rejection, long donor kidney warm ischemia time, intraoperative hypoten- sion. Postoperative oliguria period began to enter polyuria period of time 33 - 106d, the average 44.3 ± 17.42d. Conclusion ：The de- layed graft function recovery is a common complication after renal transplantation, as early as possible to the line of a transplanted kidney biopsy and renal transplantation ul- trasonography,to take comprehensive treat- ment and to develop individualized treatment plan based on the results.
关键词
超延迟肾功能恢复
肾移植术后
super delayed renal recovery
kidney transplant
postoperative
