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本文报告两例分别存活3年1个月及121天的尸体肾移植处理过程中的体会。 1.尸体肾切除队的严密组织、配合默契,以及重视熟练手术操作乃是缩短供肾热缺血时间的关键。 2.肾移植手术操作要求严格,皮瓣对合必须准确,止血必须完全。要注意对急性排异肾肿大与局部血肿及时做出鉴别诊断 3.手术者必须熟练掌握血管吻合技术,尽可能缩短术中血管吻合时间,减少肾脏损害。 4.术后严密随访并保证受者以必要的营养和生活条件,对争取好的长期疗效至关重要。
This article reports two cases of survival of 3 years and 1 month and 121 days of cadaveric renal transplant experience. 1. Cadaveric nephrectomy team tight organization, with the tacit understanding, as well as skilled surgical operation but shorten the time for renal ischemia the key. 2. Renal transplantation surgery requires strict, flap must be accurate, hemostasis must be complete. Should pay attention to the acute rejection of renal enlargement and local hematoma in a timely manner to make a differential diagnosis 3. Surgery must be familiar with vascular anastomosis techniques to minimize intraoperative vascular anastomosis time and reduce kidney damage. 4. Close follow-up after surgery and to ensure that the recipient with the necessary nutrition and living conditions, for good long-term efficacy is essential.