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总结对13例Ⅱ型糖尿病尿毒症患者行肾移植术的体会:①糖尿病患者移植术前应将病情控制使之稳定;②术后合理应用胰岛素;③警惕高渗性非酮症糖尿病昏迷;④对高龄尿毒症病人术前应注意糖尿病的诊断;⑤防治心血管并发症;⑥重视感染的防治。并结合文献复习,就糖尿病对肾脏的主要病理损害和免疫抑制药对糖代谢的影响及肾脏替代疗法的疗效等进行讨论。
Summary 13 cases of type Ⅱ diabetes uremia patients underwent renal transplantation experience: ① diabetic patients should be controlled before transplantation to stabilize the condition; ② rational use of insulin after surgery; ③ alert hypertonic nonketotic diabetic coma; ④ On the elderly patients with uremia should pay attention to the diagnosis of diabetes before surgery; ⑤ prevention and treatment of cardiovascular complications; ⑥ emphasis on prevention and treatment of infection. And combined with the literature review, the main pathological damage of diabetes on the kidney and immunosuppressive drugs on glucose metabolism and renal replacement therapy were discussed.