近期移植肾失功再移植的体会

Clinic study of re-transplantion with early non-functioning cadaveric renal allograft

我院１９９３年１月至１９９４年１０月为２０６例慢性肾炎晚期尿毒症病人进行了尸体肾移植术，其中３例病人早期移植肾失功，经正确的临床判断，及时摘除失功肾并行再移植获得成功。术后随访半年１例，１年以上２例均未出现排斥反应及并发症，移植肾功能正常。本文对早期失功的原因、再移植时机、手术方法及术后新型免疫抑制剂的应用等进行了讨论。

Abstract cases with chronic nephritis and uremia undeswent cadaveric kidney transplantatioi1 in our hospital.from January 1993 to October 1994,3 patients suffered early renal non-function after the operation,nephrectomy and re-transplantation were performed successfully.The result:1 case kept a functional renal allograft for 6 months and 2 cases kept it for more than 1 year.Author disscused the reasons of early renaI non-function,time of re-transplantation,operation program and technique,and use of new immunosuppressive agents in this article.