本文报告1978年7月至1983年9月尸体肾移植44例,其中4例存活3年以上,初步体会长期存活与以下因素有关:①供、受者之间组织配型,尤其是HLA系统是肾移植长期存活的关键,ABO血型同型者存活率高。供、受者最好均为青壮年。受者应为终末期尿毒症,血Cr>10mg/dl,CCr<5ml/min;;②术前或手术时输血,特别是输供者血可大大提高存活率,可能与“封闭抗体”的形成有关;③肾移植术后免疫抑 This article reports 44 cases of cadaveric kidney transplantation from July 1978 to September 1983, of which 4 cases survived for more than 3 years. The initial experience of long-term survival was related to the following factors: (1) Tissue matching between donors and recipients, especially the HLA system The key to the long-term survival of renal transplantation, ABO blood type with high survival rate. For the best of both young adults. Recipients should be end-stage uremia, blood Cr> 10mg / dl, CCr <5ml / min ;; ② preoperative or surgical blood transfusions, especially donor blood can greatly improve the survival rate, and may be “closed” Related to the formation of ③ immunosuppression after renal transplantation