同期胰肾联合移植术后早期并发症

Early Complications after Simultaneous Pancreas-kidney Transplantation

目的观察不同术式同期胰肾联合移植术(SPK)后患者的早期并发症。方法回顾性分析了2002年9月～2007年9月在天津市第一中心医院移植科实施SPK的20例患者的临床资料。结果4例BD术式患者术后出现血尿,4例患者出现腹腔内出血,6例出现腹腔感染,5例出现肺部感染,1例出现泌尿系感染,3例出现伤口愈合不良,1例出现顽固性腹胀,1例出现急性心肌梗死。15例BD术式患者术后均出现不同程度代谢性酸中毒。结论感染和出血是SPK术后早期最常见的并发症,BD术式的泌尿系并发症和代谢性酸中毒发生率明显高于ED术式。

Objective To explore the early complications after simultaneous pancreas-kidney transplantation （SPK）. Methods The clinical data of 20 patients who underwent SPK in our center from September 2002 to September 2007 were retrospectively analyzed. Results The complications after SPK included hematuria （ n = 4 ）, abdominal bleeding （ n = 4 ）, abdominal infections （ n = 6 ）, lung infections （ n = 5 ）, urinary infection （ n = 1 ）, poor wound healing （ n = 3 ）, abdominal distension （ n = 1 ）, and acute cardial infarction （n = 1 ）. Conclusions Infection and bleeding are the most common early complications after SPK. Urinary infection and metabolic acidosis are common in BD mode.