摘要
目的:探讨Rh阳性患者接受Rh阴性亲属活体供肾移植的安全性。方法:报告我院近期成功完成的2例Rh阳性患者接受Rh阴性亲属活体供肾移植病例,结合文献进行分析。结果:2例肾移植手术过程顺利,开放肾血流后即有尿液泌出,手术当日即进入多尿期,术后第3天血肌酐正常。住院期间无超急性、加速性、急排斥反应和溶血现象发生。两例术后分别住院36、34天后顺利出院。结论:通过免疫抑制治疗的加强和器官的充分灌洗,Rh阳性患者接受Rh阴性亲属活体供肾移植是安全的。
Objective:To discuss the security for Rh-positive patients receiving Rh-negative renal grafts. Methods:Based on review of literatures, 2 cases of kidney transplantation for Rh-positive patients receiving Rh-negative renal grafts were analyzed. Results: Both the two cases of operation were favoring. The renal grafts excreted large amounts of urine as sooon as its bloodstream were open. The diuretic phase followed the operating day. The blood creatinine dropped to normal value the third day after surgery. Both of them left hospital without hemolysis and host-versus-graft reaction. Conclusions:With intensive immunosuppressant and sufficient lavement of renal grafts, the kidney transplantation for Rh-positive patients receiving Rh-negative renal grafts is secure.
出处
《临床泌尿外科杂志》
2008年第10期762-764,共3页
Journal of Clinical Urology
关键词
肾移植
活体供肾
RH血型
Kidney transplantation
Living donor
Rh group
作者简介
通讯作者:廖贵益 E-mail:liaoguiyi2@sina.com