联合实施心脏瓣膜置换术和肾移植术治疗心脏瓣膜病合并慢性肾功能衰竭

Combined operations of heart valve replacement and renal transplantation

目的 探讨有心脏手术指征但合并肾功能衰竭的患者的手术治疗途径。 方法 为 1例患有严重的风湿性心脏瓣膜病 (心功能III～IV级 ) ,同时合并慢性肾功能衰竭 (血尿素氮 19 1mmol/L ,血肌酐 44 2 μmol/L)的 2 8岁男性患者 ,联合实施心脏瓣膜置换术和同种异体肾移植术 ,术后经过抗心衰、抗排异、纠正水电解质平衡紊乱及抗炎治疗。 结果 患者心、肾功能恢复良好 (心功能I～II级 ,血尿素氮 6 8mmol/L ,血肌酐 70 7μmol/L) ,术后 2个月出院。

Objective To find out a proper treatment for patients who have cardiac operation indications and renal failure concomitant. [WT5”HZ]Method[WT5”BZ] A 28 year old man had severe rheumatic cardiac valve disease (cardiac fonction III IV) and chronic renal failure (ureanitrogen 19.1mmol/L, 442μmol/L). ResultsCombined operations of cardiac valve replacement and renal transplantation were performed. The cardiac fonction was raised to I II, and the levels of blood ureanitrogen and creatinine were reduced to 6 8mmol/L and 70 7 μmol/L. The prognosis has been satisfying up to now. [WT5”HZ]Conclusion[WT5”BZ] Combined operations may be an ideal treatment for the patients with severe heart diseases and renal failure.