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对84例(92人次)50岁以上尿毒症患者的尸体肾移植资料进行分析总结。受者年龄50～67岁。供肾热缺血时间6～12分,冷缺血时间4～12小时,淋巴细胞毒性试验均<0.01,HLA配型82例。手术均较为顺利,术后常规免疫抑制治疗1例,三联疗法83例。术后一年人/肾存活率分别为80.9％/73.9％。认为供肾质量、HLA配型、术中技巧、免疫抑制剂的合理应用、术后并发症的防治及患者的长期随访对患者长期存活非常重要。
The corpus kidney transplantation data of 84 patients (92 persons) with uremia over 50 years old were analyzed and summarized. Recipient age 50 to 67 years old. Renal ischemia for 6 to 12 minutes, cold ischemia 4 to 12 hours, lymphocyte cytotoxicity tests were <0.01, HLA matching in 82 cases. Surgery were more successful, postoperative conventional immunosuppressive therapy in 1 case, triple therapy in 83 cases. The one-year post-operative human / kidney survival rates were 80.9% / 73.9%, respectively. It is very important to consider the quality of kidney, HLA matching, intraoperative skills, rational application of immunosuppressive agents, prevention and treatment of postoperative complications and long-term follow-up of patients.