尸体肾移植术后加速性排斥反应的临床治疗体会

自1996年5月至1999年5月所行的300例尸体肾移植患者中，7例发生加速性排斥反应，发生率2．33％，经强有力的抗排斥治疗后6例完全逆转，排斥逆转率85．5％，目前这6例均健康存活，带肾存活率最长已达3年半；1例治疗无效切除移植肾。本文总结了加速性排斥反应的防台重点在于：早期诊断、及时强有力的抗排斥治疗以及有针对性的防治抗排斥治疗过程中可能出现的各种并发症。

Clinical Experience of Treating Accelerated Rejection of Cadaver Renal Transplantation

Seven patients were diagnosed as accelerated rejection among 300 patients of cadaver renal transplantation from May. 1996 50 May. 1999. Six patients of accelerated rejection were reversed by efficient treatment of anti-rejection. One allograft was removed because treatment was invalid. And now six patients were still alive, the longest survival one had reached to three years. It was concluded that the treatment emphasis of accelerated rejection should be focused on three aspects-early diagnosis, efficient treatment in time, and pay more attention to any possible complications during the process of treatment.