摘要
本文报道321例(340)次同种异体肾移植术后发生超急排异12例,发生率3.7％。4例于术中立即摘除移植肾,7例分别于术后第3～20天内摘除移植肾,1例经对症处理后,症状得以控制,移植肾逐渐萎缩未予摘除。术后均及时停用免疫抑制药物和恢复透析治疗,无死亡病例。本组病例均经病理检查证实。本文讨论了超急排异的发生机理、诱发因素、诊断与鉴别诊断和处理。
Out of 321 cases of renal transplantation, 12 had hyperacute rejection(3.6%) after operation.Among them transplanted kidneys in 4 caseswere immediately remo-ved during operation, donor kidneys in 7 cases were removed 3-20d postoperation, and rejection in 1 case was controlled after suitable treatment,however donor kidney became atrophied gradually without being removed.Immunosuppressive drugs were discontinued and dialysis v/as restored in tjnv: in all the 12 patients.None of them died of rejection.Clinical diagnosis of hyperacute rejection was confirmed pathologically.Mechanisms, inducing factors, diagnosis and differential diagnosis, and treatment of hyperacute rejection are discussed.
出处
《第二军医大学学报》
CAS
CSCD
北大核心
1989年第3期237-239,243,共4页
Academic Journal of Second Military Medical University
关键词
肾
移植
超急排异
kidney
transplantation
hyporacute redaction
