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我院自1978年3月以来先后为28例终末期肾衰行42例次尸体肾移植,其中2例术后存活超过10年,生活完全自理,能坚持原工作。为探讨延长尸体肾移植病存活时间的有关因素,现总结如下。一、病例报告例1 女,25岁,未婚。既往有慢性肾炎史13年。因面部浮肿、尿少伴恶心呕吐半月转来我院。体检:严重贫血貌,面部轻度浮肿,BP21.3/13.3kPa。胸骨左缘第4肋间可闻及心包磨擦音。EKG示左心室增大,心肌劳损。实验室检查:血:Cr 125mg/L,BUN2500mg/L,CO_2CP 11.76 mmol/L,Hb3.5g/L,RBC1.25×10~(12)/L;尿蛋++。诊断为慢性肾炎及尿毒症入院治疗。3天后血液透析改善
Our hospital since March 1978 has 28 cases of end-stage renal failure 42 cases of renal cadaver transplantation, of which 2 patients survived more than 10 years, life completely self-care, can adhere to the original work. In order to explore the factors that prolong the survival time of cadaver kidney transplantation, are summarized as follows. First, the case report 1 female, 25 years old, unmarried. Past history of chronic nephritis for 13 years. Due to facial edema, oliguria with nausea and vomiting half turn to our hospital. Physical examination: severe anemia, mild facial swelling, BP21.3 / 13.3kPa. 4th intercostal space on the left margin of the sternum can be heard and pericardial friction sound. EKG showed left ventricular enlargement, myocardial strain. Laboratory tests: blood: Cr 125mg / L, BUN2500mg / L, CO_2CP 11.76mmol / L, Hb3.5g / L, RBC1.25 × 10-12 / L; Diagnosis of chronic nephritis and uremia admitted to hospital. Hemodialysis improved after 3 days