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目的 总结尸肾移植1 501 例的经验。方法 回顾分析1 501例的临床资料, 包括一般资料、供肾的切取、手术技术、免疫抑制剂的应用、并发症的发生情况等。结果 术后共有393 例发生各种并发症, 各种感染共150 例, 急性排斥反应117 例, 占第3 位的是急性肾小管坏死41 例; 有11例发生超急性排斥反应, 均为1997 年以前的病例; 共死亡34 例, 主要死亡原因为巨细胞病毒感染;1997 年以前的人/ 肾1 年存活率为92 % /87% ,1997 年以后为98% /96% 。结论 术后感染是影响受者存活的主要原因; 排斥反应的预防及免疫抑制剂的合理应用应给予足够的重视。
Objective To summarize the experience of 1 501 cases of corpse kidney transplantation. Methods Retrospective analysis of 1 501 cases of clinical data, including general information, for the removal of the kidney, surgical techniques, the application of immunosuppressive agents, complications and so on. Results A total of 393 cases of postoperative complications occurred, a variety of infections in 150 cases, 117 cases of acute rejection, accounting for the third is acute tubular necrosis in 41 cases; 11 cases of hyperacute rejection, both 1997 Year old cases; a total of 34 deaths, the main cause of death was cytomegalovirus infection; 1997 / year before the one-year survival rate was 92% / 87% of human / kidney, after 1997, 98% / 96%. Conclusion Postoperative infection is the main reason that affects the survival of recipients. Prevention of rejection and reasonable application of immunosuppressive agents should be given enough attention.