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肾移植后急性胰腺炎临床罕见,来势凶猛,大部分发展为出血坏死性胰腺炎,我院自1977年开展肾移植至今,仅发生1例。现报道如下。 一般资料:患者,女,34岁,因慢性肾炎肾功能衰竭于1995年4月18日行同种异体肾移植术,手术顺利。术后恢复良好,第四天开始眼环孢素A(CSA)2mg/kg每天一次,逐渐增量至5mg/kg。术后29天,肝肾功能正常,稳定出院。出院后免疫抑制方案:强的松(Pred)20mg,硫唑嘌呤(Aza)75mg,CSA5mg/kg,每天各一次。
Acute pancreatitis after renal transplantation clinically rare, ferocious, most of the development of hemorrhagic necrotizing pancreatitis, renal transplantation since our hospital since 1977, only one case occurred. Report as follows now. General Information: Patient, female, 34 years old, with renal failure due to chronic nephritis on April 18, 1995 underwent allogeneic kidney transplantation. Postoperative recovery was good, and on the fourth day, ciclosporin A (CSA) 2 mg / kg was given once daily, gradually increasing to 5 mg / kg. 29 days after operation, liver and kidney function was normal and stable discharge. Immune suppression after discharge program: prednisone (Pred) 20mg, azathioprine (Aza) 75mg, CSA5mg / kg, once a day.