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尸体肾移植术后137例急性排斥反应的治疗体会
引用本文:于立新 徐健. 尸体肾移植术后137例急性排斥反应的治疗体会[J]. 中华泌尿外科杂志, 1994, 15(1): 20-21
作者姓名:于立新 徐健
作者单位:第一军医大学南方医院泌尿外科
摘    要:
自1985年2月至1993年3月施行尸体肾移植475例,术后均应用环抱素A(CsA)、硫唑嘌呤(Aza)及强的松(Pred)治疗,其中发生急性排斥反应(AR)137例(28.8%),经正确的使用免疫抑制剂,并分别应用甲基强的松龙(MP),OKT3及ALG冲击治疗,96例逆转(70.0%),29例摘除移植肾(21.2%),12例死亡(8.8%)。就发生AR的原因,诊断与鉴别诊断及处理进行讨论。

关 键 词:肾,移植免疫学

Management of acute rejection in 137 cases of kidney transplantation
Yu Li-xin,Xu Jian, Bai Xi-wen,et al.. Management of acute rejection in 137 cases of kidney transplantation[J]. Chinese Journal of Urology, 1994, 15(1): 20-21
Authors:Yu Li-xin  Xu Jian   Bai Xi-wen  et al.
Affiliation:Yu Li-xin,Xu Jian, Bai Xi-wen, et al.
Abstract:
Cadaveric kidney transplantation has been performed from 1985 to Mar. 1993 for 475 patients. Acute rejection of the transplant has been observed in 137 (28. 8%) of which 96 (70.0%) was successfully reversed with MP,OKT3 or ALG, the transplant being excised in 29 (21. 2%) and 12 patients died (8. 8%). The cause, differential diagnosis, management and prevention of acute rejection after kidney transplantation were discussed.
Keywords:Kidney Transplantation immunology  
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