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目的 探讨高危角膜移植患者围手术期的处理措施 ,以降低术后免疫排斥反应率。方法 对 6 80例有完整随访记录的穿透性角膜移植中的 12 4例 (137眼 )高危角膜移植患者 ,分别在围手术期 (术前、术中、术后早期 )进行相应处理。结果 经围手术期处理后 ,本组 137眼高危患者穿透性角膜移植后的免疫排斥率为 37% ,植片透明率为 80 .1% .结论 重视高危角膜移植围手术期的处理 ,是减少术后免疫排斥反应和提高植片透明率的重要措施
Objective To investigate the perioperative management of high-risk corneal transplantation in order to reduce the rate of postoperative immune rejection. Methods One hundred and sixty-four cases (137 eyes) of high-risk keratoplasty in penetrating keratoplasty with complete follow-up recording were treated in perioperative period (preoperative, intraoperative, early postoperative) respectively. Results After perioperative treatment, the rejection rate of penetrating keratoplasty in 137 eyes of high-risk group was 37% and the transparency rate was 80.1% .Conclusion The perioperative management of high-risk corneal transplantation is Reduce postoperative immune rejection and improve the transparency of the important measures