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目的探讨肾移植术后早期中枢神经系统并发症的发生率、类型及危险因素。方法回顾分析出现中枢神经系统症状体征的75例肾移植受者的术后资料。结果脑病35例,癫痫发作24例,急性脑卒中15例,中枢神经系统感染1例。病因包括感染、缺氧、代谢性、电解质、移植肾急性排异及药物(免疫抑制剂)等。结论肾移植术后早期中枢神经系统并发症原因较复杂,应仔细排查。
Objective To investigate the incidence, types and risk factors of early central nervous system complications after kidney transplantation. Methods The postoperative data of 75 renal transplant recipients with central nervous system symptoms and signs were retrospectively analyzed. Results Encephalopathy in 35 cases, 24 cases of epileptic seizures, 15 cases of acute stroke, central nervous system infection in 1 case. Causes include infection, hypoxia, metabolic, electrolytes, acute renal transplant rejection and drugs (immunosuppressive agents) and so on. Conclusion The causes of central nervous system complications after renal transplantation are complicated and should be carefully investigated.