104例亲属活体肾移植的临床观察

Clinical observation of 104 cases of living relative kidney transplantation

目的总结104例亲属活体肾移植术后观察的要点,为今后该类手术的术后病情观察及治疗康复提供依据。方法对2003年3月～2007年10月的104例亲属活体肾移植手术患者进行回顾性分析。结果所有供者术后5～8d内出院,存活至今,肾功能均无异常。1例受者因移植术后并发重症肺炎死亡,余103例受者存活至今,1例并发超急性排斥反应,7例并发急性排斥反应,4例行移植肾周血肿清除术,11例并发重症肺炎。结论针对不同活体肾移植患者术前术后的特殊情况,及时的观察处理措施对患者的治疗、预后有积极的影响,对提高生存率,降低感染率有重要意义。

[Objective] To summarize the essentials of observation after living relative kidney transplantation （LRKT）. [Methods] The clinical observation of 104 cases after living relative kidney transplantations （LRKT） from Mar.2003 to Oct.2007 were analyzed retrospectively. [Results] Alldonors were discharged within 5 to 8 days postoperation. All cases were followed up, the donors kept normal kidney function without impairment of life quality. One patient dired with Serious pneumonia. 103 recipients were still alive. Graft loss in one case due to superacute injection. Acute rejection episodes occurred in 7 patients. Debridement of donor occurred in 4 patients and pulmonary infection appeared in 11 cases. [Conclusion] To the different instances around the operation, clinical observation after LRKT is one of the key factors contributing to the rehabilitation of patients undergoing kidney transplantation. Early observation and management are important to reduce infections and increase survival rate.