摘要
目的总结胰肾联合移植的外科并发症的预防与治疗经验和教训。方法对2例糖尿病性肾病、尿毒症患者施行了胰肾联合移植术。胰腺外分泌引流应用膀胱引流式。免疫抑制剂应用OKT3+CsA +MMF +Pred四联序贯免疫抑制方案。应用小分子肝素、低分子右旋糖酐、丹参抗凝治疗。结果2例患者分别于术后6和3小时血糖降至正常 ,停用胰岛素 ,血肌酐于术后5和4天恢复正常。1例出现伤口血肿和移植肾输尿管坏死 ;1例出现移植胰胰尾轻度胰瘘。结论应注意胰肾联合移植手术外科并发症的预防。
Objective To discuss the prevention and the treatment of surgical complication following simultaneous pancreas_kidney transplantation.Methods Simultaneous pancrea_skidney transplantation was performed in two patients with type 2 diabetes mellitus and end stage renal disease.Bladder draingage was used for the management of pancreas exocrine secretion.Two patients received OKT3,CsA,MMF,and Pred for immunosuppression after operation.Results Blood glucose decreased to normal level and insulin injection stopped 6 and 3 hours after operation.The serum creatinine and nitroge were at normal level 5 and 4 days postoperation.At present the function of the pancreas and renal graft was normal.Conclusion The treatment of surgical complication is very important.
出处
《中国航天医药杂志》
2001年第6期6-7,共2页
Medical Journal of CASE
关键词
胰腺
肾脏
移植术
糖尿病
终末期肾病
手术后并发症
Pancreas Kidney Transplantation Diabetes mellitus End stage renal disease Surgical complication