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尸体肾移植后急性肾小管坏死回顾性分析

Acute tubular necrosis of cadaveric renal transplantation

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【作者】 王逸民朱琮叶有新王苏娅

【Author】 Wang Yimin; Zhu Zong; Ye Youxin; et al(Renal Transplantation and Hemodialysis Center First Affiliated of Zhejiang Medical University)

【机构】 浙江医科大学附属第一医院透析中心

【摘要】 本文对74例次尸体肾移植中临床发生移植肾急性肾小管坏死(ATN)10例(占13.51%)作一回顾性分析。ATN者中4例采用小剂量多巴胺联合速尿扩肾血管、利尿使之转为非少尿型ATN;3例少尿或无尿分别持续18、28、56d,经血液透析治疗最后获得迟缓肾功能;另3例因移植肾破裂、肾周围感染而摘取移植肾。并对ATN发病原因、诊断及防治进行探讨。

【Abstract】 Abstract Seventy-four cadaveric renal transplantation were reported.Among them,10 transplanted kidneys developed acute tubular necrosis (ATN), accouring for 13.51%, Mini dose of dopamine combined with furosemide were used in 4 cases in the ATN group. Their oliguria ANT was turned into nonoliguria ATN due to the effect of renal vascular dilation and uragogue. The duration of anuria or oliguria was lasting 18, 28 and 56 days respectively in 3 cases. With the treatment of hemodialysis the normal renal functionwas obtained again. The etiology,diagnosis and prevention were discussed in brief.

【关键词】 尸体肾移植急性肾小管坏死
  • 【文献出处】 临床泌尿外科杂志 ,JOURNAL OF CLINAICAL UROLOGY , 编辑部邮箱 ,1995年02期
  • 【分类号】R692
  • 【被引频次】12
  • 【下载频次】27
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