摘要
目的为了提高移植肾功能延迟恢复(DGF)的治愈率及缩短治疗时间,并总结其防治经验.方法回顾性分析16例移植肾功能延迟恢复患者的临床资料及治疗方法.结果DGF发生率为8.6%;急性排斥反应4例中,2例移植肾破裂切除后近期再次行原位肾移植术,另2例和12例急性肾小管坏死者,经调整免疫抑制剂、床旁超滤及无肝素化透析等综合治疗,肾功能于2～4周恢复正常.结论移植肾功能延迟恢复是肾移植术后常见的并发症,应积极预防;一旦发生应采取综合治疗;移植肾切除后近期原位再次行肾移植术是一种可行的补救方法.
Objective: To increase the cure rate and cut down the time of treatment of DGF, and summarize the experience of prophylaxis and treatment of DGF. Methods: The clinical datum and treated means of 16 cases of DGF were reviewed retrospectively. Results: The occurring rate of DGF is 8.6%; in 4 cases of acute reject reaction, 2 cases have been accepted transplantation once more in home position shortly after grafting resected, the other 2 cases and 12 acute tubular necrosis have recovered in 2~4 weeks, through the regulation of immunity depressant, ultrafiltration of bed side and no-heparin dialysis. Conclusions: DGF is a common syndrome after kidney transplantation. It should be prevented against positively. It must be take synthetical treatment after taking place, transplantation once more in home position shortly after grafting resected is a feasible remedial means.
出处
《中国现代医学杂志》
CAS
CSCD
2004年第24期123-125,共3页
China Journal of Modern Medicine
关键词
肾移植
移植肾功能延迟恢复
治疗
kidney transplantation
delayed graft function
treatment
