摘要
本文报告肾移植57例。就末次血透时间对肾移植术中及术后早期血压的影响、血压波动范围与移植肾尿量及肌酐恢复的关系作了统计分析。结果表明:术前24h内加强透析的患者,术中及术后血压稳定,生命体征易管理,开放血流后绝大多数移植肾立即泌尿,术后ATN发生率低,透析次数少,肾功恢复恢。血压波动≤4kPa,对移植肾泌尿及其功能恢复有益。血压波动≥5kPa,ATN发生率高,肾功恢复慢,透析过程长。此外,本文就如何保持循环系统稳定性的具体措施作了介绍。强调术中止血彻底是保持血压稳定性之关键。
57 cases of renal transplantation were presented. The effect of the time of the last hemodialy-sis (HD) on the blood pressure during and after operation, the relationship between the pluctuation range of the blood pressure and the volume of urine in transplanted kidney and the level of serum creatinine were statistically analysed. The results showed that the patients hemodialysied in 24 hours before renal transplantation had stabler blood pressure, quicker urination after recovery of blood circulation in transplanted kidney, lower incidents of ATN, less times of HD and faster renal function recovery. Blood pressure changed≤4 kPa was benifit to function recovery of transplanted kidney. Higher incidents of ATN, more times of HD and slower rena! function recovery were observed in the patients whose blood pressure changed≥5 kPa. In addition, how to keep the stability of blood pressure was reported. It was emphasized that complete hemoslasia was the key to the stability of blood pressure during operation.
出处
《现代泌尿外科杂志》
CAS
1997年第1期22-24,共3页
Journal of Modern Urology
关键词
肾移植
血压
renal transplantation
blood pressure
