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随着肾脏手术的普遍开展,对手术过程中因肾缺血而引起的损伤采取什么样的保护措施,已经成为泌尿外科工作者所关注的一个重要课题。近有文献报告离体肾手术低温保肾具有一定的优越性,但工序复杂,且向体移植术的失败率可达5～10％,所以原位低温护肾已广泛应用,如原位肾表面降温,低温灌注等方法均在试验中。Marberge指出经动脉灌注降温是保护肾缺血最有效的方法,并认为某些辅助药物能改善肾缺血的耐受性。我院附属一医院泌尿外
With the general development of kidney surgery, what kind of protective measures are taken for the injury caused by renal ischemia during the operation has become an important issue that urological workers are concerned about. Recent literature reports that ex vivo kidney surgery has the advantages of low-temperature kidney, but the process is complicated, and the failure rate of body transplant to 5 to 10%, so in situ renal hypothermia has been widely used, such as in situ kidney Surface cooling, low temperature perfusion and other methods are in the test. Marberge pointed out that the artery perfusion cooling is the most effective way to protect renal ischemia, and that some of the auxiliary drugs can improve renal ischemic tolerance. A hospital affiliated to our hospital is urinary