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对32例肾移植后带肾存活10年以上患者的资料进行分析总结。供肾热缺血时间8分钟,温缺血时间1小时8分钟,冷缺血时间32小时,淋巴细胞毒性试验均<0.10。术中均较为顺利,术后应用硫唑嘌呤及强的松进行免疫抑制。术后1个月内有15例发生急性排斥反应,均经治疗逆转。认为供肾质量、供受体的HLA配型、术后免疫抑制剂的合理应用以及术后患者的监护及随访对移植肾的长期存活非常重要。
The data of 32 patients with renal allograft survival more than 10 years after renal transplantation were analyzed and summarized. Renal ischemia for 8 minutes, warm ischemia 1 hour 8 minutes, cold ischemia 32 hours, lymphocyte toxicity test were <0.10. Intraoperative were relatively smooth, postoperative use of azathioprine and prednisone immunosuppression. There were 15 cases of acute rejection within 1 month after operation, all of which were reversed by treatment. It is important to consider the quality of donor kidney, HLA matching for recipient, reasonable application of postoperative immunosuppressive agents, and the monitoring and follow-up of postoperative patients on the long-term survival of renal allografts.