论文部分内容阅读
文献报告,尸体肾移植后约有60~70%患者出现高血压并发症,约有10%术后肾动脉狭窄。本文测定肾移植患者血浆血管紧张素Ⅰ(AT-Ⅰ)、血管紧张素Ⅱ(AT-Ⅱ)、醛固酮(Ald)含量,就它们三者在肾移植后早期的变化及与肌酐、尿素氮、血压之间的关系作初步探讨,现报告如下。 资料和方法 一、一般资料:尸体肾移植患者24例(男15,女9),年龄44.4±8.7(24~60)岁,原发病均为慢性肾小球肾炎、尿毒症。其中5例术前血压>21/15kPa(高血压组),19例术前血压正常≤20/12kPa(正常组)。手术方法均为供肾动、静脉与额外动静脉端侧吻合。血浆AT-Ⅰ、AT-Ⅱ和Ald含量的检测分别于术前1天,术后1、3、7天进行。 二、方法:(一)AT-Ⅰ、AT-Ⅱ血样本留取后,
Reported in the literature, about 60 ~ 70% of renal transplant recipients showed hypertensive complications, about 10% of postoperative renal artery stenosis. In this study, we measured the plasma levels of AT-Ⅰ, AT-Ⅱ and Ald in renal transplant recipients and compared the changes of plasma ET-Ⅰ, The relationship between blood pressure for a preliminary discussion, are as follows. Materials and Methods First, the general information: 24 cases of cadaveric kidney transplant (male 15, female 9), aged 44.4 ± 8.7 (24 to 60) years old, the primary disease are chronic glomerulonephritis, uremia. Among them, 5 patients had preoperative blood pressure> 21 / 15kPa (hypertension group) and 19 patients had normal preoperative blood pressure ≤20 / 12kPa (normal group). Surgical methods are for renal artery, vein and additional arteriovenous anastomosis. Plasma AT-Ⅰ, AT-Ⅱ and Ald content were detected at 1 day before surgery, 1,3,7 days after surgery. Second, methods: (a) AT-Ⅰ, AT-Ⅱ blood samples taken after taking,