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为探讨肾移植术后早期急性肾功能衰竭(ARF)的发病原因及救治方法,报告同种异体肾移植术后并发ARF 9例,其中为有效循环血容量不足所致者6例,高血磷中毒所致者3例.经过积极治疗,除1例因术后并发感染救治无效而摘除移植肾外,其余8例均恢复了肾功能,取得较好效果.并就肾移植术后早期ARF的发病原因进行了分析,总结了治疗上的一些体会.认为有效循环血容量个足和高血磷中毒为ARF的主要病因;针对不同病因分别采取不同方法进行救治,往往可获得较好疗效.
In order to explore the pathogenesis and treatment of early acute renal failure (ARF) after renal transplantation, 9 cases of ARF accompanied by renal allograft after renal transplantation were reported, of which 6 were caused by inadequate circulation blood volume, hyperphosphatemia Poisoning caused by 3 cases.After active treatment, except for 1 case of infection complicated by postoperative infection and removal of transplanted kidneys, the remaining 8 patients were restored renal function and achieved good results.And renal transplantation after early ARF The causes of the disease were analyzed and some experiences of treatment were summarized.It is considered that the effective circulation blood volume and hyperphosphataemia are the main causes of ARF. Different treatment methods for different causes are often used to treat ARF.