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类白血病反应,作为同种异体肾移植术后急性排异反应的特殊表现形式,临床不多见,我院遇到一例,报告如下。35岁男性患者,住院号285379,因罹慢性肾炎、慢性肾衰,于1985年2月11日入院。经40次血液透析治疗,输血12单位后,于1985年5月28日行同种异体肾移植术。组织配型,供受者均为 B 型血,淋巴细胞毒交叉配合试验阴性,混合淋巴细胞培养刺激指数0.88。术中顺利,热缺血3分钟,冷缺血242分钟,恢复供肾循环后9分钟开始喷尿,60分钟尿量达1,000ml。术后第10天,末梢血中出现中幼粒细胞10%,中晚幼粒细胞12%,杆状核粒细胞10%,网织红细胞0.8%,中幼红细胞1%,晚幼红细胞10%,白细胞总数为18.4×10~9/L,
Leukemia-like response, as allograft renal transplantation after acute rejection special form of clinical rare, I met a hospital, the report is as follows. 35-year-old male patient, hospital number 285379, was hospitalized on February 11, 1985 due to chronic nephritis and chronic renal failure. After 40 hemodialysis treatment, transfusion of 12 units, on May 28, 1985 underwent allogeneic kidney transplantation. Tissue matching, for the recipients are type B blood, lymphocyte cross-mating test negative, mixed lymphocyte culture stimulation index 0.88. Surgery, warm ischemia for 3 minutes, 242 minutes cold ischemia, resumption of renal circulation after 9 minutes to start urinating, 60 minutes urine output of 1,000 ml. Ten days after operation, peripheral blood showed 10% of neutrophils, 12% of late promyelocytes, 10% of rod-like nucleated cells, 0.8% of reticulocytes, 1% of juvenile erythrocytes, 10% of neonate erythrocytes, , The total number of leukocytes was 18.4 × 10 ~ 9 / L,