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作者报道1978年6月至1992年6月间施行的尸体肾移植768例800次。全组的肾存活率:1年为77.8％3年为73.5;5年为52.6％;存活10年以上者8例。从本组临床资料回顾性分析显示:①提高肾存活率的因素中高质量取肾与植肾手术尤为重要;②在当今环孢素A应用的时代,仍应坚持ABO血型及淋巴细胞毒性试验配型工作;③感染是移植失败的重要原因,应将预防感染贯彻于术前、术中及术后的全过程;④加强对肾移植患者的随访工作,指导患者的康复,这对移植肾能否长期存活有着重要意义。
The authors reported 768 cases of cadaveric kidney transplant performed between June 1978 and June 1992, 800 times. The survival rate of the whole group of kidneys was 77.8% in 1 year, 73.5% in 3 years and 52.6% in 5 years, and 8 cases survived for more than 10 years. Retrospective analysis of clinical data from this group showed that: ① improve renal survival factors in high-quality kidney and kidney transplant surgery is particularly important; ② in today’s era of cyclosporin A, ABO blood type and lymphocyte toxicity test should be adhered to with Type of work; ③ infection is an important reason for transplant failure, infection prevention should be implemented in the preoperative, intraoperative and postoperative whole process; ④ strengthen the follow-up of patients with renal transplantation, and guide the patient’s recovery, which transplanted renal energy Long-term survival is of great importance.