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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。
This article reports 57 cases of kidney transplantation. The effect of the last hemodialysis time on the blood pressure during and after renal transplantation, the relationship between the fluctuation of blood pressure and the volume of renal allograft and the recovery of creatinine were statistically analyzed. The results showed that in patients undergoing intensive dialysis within 24 hours before operation, blood pressure was stable during operation and postoperatively, and vital signs were easily managed. Immediately after open blood flow, the vast majority of transplanted kidneys were urinated. The postoperative ATN incidence, dialysis frequency, renal function Restore Fluctuation of blood pressure ≤ 4kPa, renal transplantation and functional recovery benefit. Blood pressure fluctuations ≥ 5kPa, ATN high incidence, slow recovery of renal function, dialysis process long. In addition, this article describes how to maintain the stability of the circulatory system. Emphasize intraoperative hemostasis is the key to maintaining blood pressure stability.