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本文报道我院７例尿毒症合并冠心病患者肾移植的经验。７例中有６例经冠脉造影证实，其中３例狭窄严重（＞７０％）或临床症状明显者先行经皮冠状动脉成形术或冠状动脉旁道移植术，１例合并高度房室传导阻滞而安装体内永久性起搏器。６例患者移植肾分别存活大于８、１０、１１、１７、３４和３个月。我们认为对冠状动脉严重狭窄（＞７０％）者应先行冠状动脉成形术／旁道移植术；而对冠状动脉狭窄较轻（＜７０％）或隐性冠心病患者可在充分术前准备条件下行肾移植。
This article reports the 7 cases of uremia in our hospital with renal transplant patients with coronary heart disease experience. Six of the seven cases were confirmed by coronary angiography, of which three had severe stenosis (> 70%) or those with clinically significant symptoms underwent percutaneous transluminal coronary angioplasty or coronary artery bypass grafting. One patient had a high degree of atrioventricular blocker Hysteresis and installation of permanent pacemaker body. Six patients survived more than 8, 10, 11, 17, 34 and 3 months respectively. We believe that coronary angioplasty / bypass surgery should be performed on patients with severe coronary artery stenosis (> 70%), while patients with mild coronary stenosis (<70%) or patients with implicit coronary heart disease may be treated with adequate preoperative preparation Downstream kidney transplant.