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同种异体肾移植术后移植肾功能延迟恢复的发生率约为10％～60％,一旦发生即会对肾移植成功率产生影响,应尽早明确原因,及时给予合理的治疗。本文阐述对这一问题的诊治体会。 临床资料 1.一般资料 1989年至1997年共行尸体肾移植术10例次,共发生术后肾功能延迟恢复4例,女3例,男1例,淋巴毒配型2～10％,热缺血时间3～7min,冷缺血时间3.5～9.5小时,开放肾血管后即无尿3例,术后8小时无尿1例。 2.发生肾功能延迟原因 3例为急性肾小管坏死(ATN),1例为超急性排斥在术后8小时无尿。在急性肾小管坏死患者中,1例为明显的开放
The incidence of delayed graft recovery after allogeneic kidney transplantation is about 10% ~ 60%. Once the occurrence of renal transplantation, the success rate of renal transplantation will be affected. As soon as possible, a clear reason should be given and a reasonable treatment should be given in time. This article describes the diagnosis and treatment of this issue. Clinical data 1. General information From 1989 to 1997, a total of 10 cases of cadaveric renal transplantation were performed. There were 4 cases of postoperative delayed recovery of renal function, 3 cases of female, 1 case of male, 2 to 10% of lymphadenosis, hot 3 to 7 minutes of ischemia, 3.5 to 9.5 hours of cold ischemia, 3 cases of anuria after opening of renal vessels, and 1 case of anuria after 8 hours of operation. 2. The causes of delayed renal function in 3 cases of acute tubular necrosis (ATN), 1 case of hyperacute rejection in 8 hours after anuria. In patients with acute tubular necrosis, 1 was significantly open