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肾脏移植围手术期死亡病例原因分析 被引量:1

Analysis of death causes of renal transplantation recipients during perioperative period
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摘要 目的 探讨肾移植患者围手术期死亡原因。方法 对 112 3例肾移植受者围手术期死亡原因进行回顾性分析。结果 围手术期共死亡 2 4例 ,死亡率 2 1% ,其中 10例死于感染 ,8例死于心、脑血管疾病 ,3例死于应激性溃疡 ,2例死于暴发性肝功能衰竭 ,1例死于高渗性非酮症糖尿病昏迷。结论 早诊断 ,早治疗 ,积极处理危险因素 ,加强肾脏移植围手术期有关预防措施是降低围手术期死亡率的关键。 Objective To investigate the causes of death of renal transplantation recipients during perioperative period. Methods One thousand one hundred and twenty-three cases of renal transplantation patients admitted to 309 Hospital of PLA from Nov. 1988 to Apr. 2003 were analyzed retrospectively. Results Twenty-four patients died (2.1%), among them, 10 died from infection, 8 from cadio-cerebral vascular disease, 3 from stress ulcer, 2 from fulminant hepatic failure, and 1 from hyperosmolar nonketosis diabetic coma. Conclusions It is essential to confirm the diagnosis early and give effective treatment immediately in renal transplantation patients during perioperative period. Preventive measures aiming at decreasing the risk factors should be emphasized.
出处 《解放军医学杂志》 CAS CSCD 北大核心 2004年第1期71-72,共2页 Medical Journal of Chinese People's Liberation Army
基金 全军医学科研"十五"计划重大项目基金资助课题 (编号 0 1Z0 97)
关键词 肾移植 手术期间 死亡 回顾性研究 kidney transplantation intraoperative period death retrospective studies
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  • 1Surazee P, Gian S, Sandra M, et al. Time dependency of factors affecting renal allograft survival[J]. J Am Soc Nephrol, 2001, 11:565.
  • 2Gema F F, Rafael E,Emilio R,et al.The risk of cardiovascular disease associated with proteinuria in renal transplant patients [J]. Transplantation, 2002, 73 (8):1345.
  • 3Vento S, Cainelli F, Mirandola F,et al. Fulminant hepatitis on withdrawal of chemotherapy in carriers of hepatitis C[J]. Laneet,1996,347:92.
  • 4任吉忠,闵志廉,朱有华,齐隽,王立明,王亚伟,郑军华,周梅生,徐丹枫.肾移植患者合并严重肺部感染的临床诊断与救治(附45例报告)[J].肾脏病与透析肾移植杂志,2001,10(2):106-109. 被引量:56

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