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肾移植后糖尿病
引用本文:Yao X,Hu Q,Chen C. 肾移植后糖尿病[J]. 中华外科杂志, 2000, 38(1): 67-68
作者姓名:Yao X  Hu Q  Chen C
作者单位:姚许平(浙江鄞县人民医院泌尿外科 315040)
摘    要:目的 研究肾移植后糖尿病(PTDM)的临床规律。方法 总结1992年12月至1998年9月经治的21例PTDM患者与同期非PTDM患者108例的资料比较。结果 本组PTDM总发病率为16.3%。统计显示,PTDM组与非PTDM组在年龄、肾功能异常率(57.1%及30.5%)及阳性糖尿病家族史方面有显著性差异,但与环孢霉素谷A浓度值及急性排异发生率无关。PTDM组并发高渗性非酮性糖尿病昏迷2例,各类

关 键 词:肾移植 糖尿病 并发症 PTDM
修稿时间:1999-05-27

Posttransplantation diabetes mellitus
Yao X,Hu Q,Chen C. Posttransplantation diabetes mellitus[J]. Chinese Journal of Surgery, 2000, 38(1): 67-68
Authors:Yao X  Hu Q  Chen C
Affiliation:Department of Urology, Yinxian People's Hospital, Zhejiang 315040, China.
Abstract:OBJECTIVE: To study the clinical rules of posttransplantation diabetes mellitus (PTDM). METHODS: 21 patients treated from Dec. 1992 to Sept. 1998 were analysed. RESULTS: The morbidity of PTDM was 16.3% of total patients in the corresponding period. Between the groups of PTDM and NON-PTDM, there was statistical significance in age, kidney function and family diabetic history. It was not related to CSA bottom concentration and acute rejection. In this group 2 cases were complicated by hyperosmolar nonketotic diabetic comas (9.5%) and 11 various infections (52.4%). CONCLUSIONS: PTDM as a secondary diabetes due to antirejection drugs and allograft kidney function may cause serious consequences if it is treated improperly.
Keywords:Kidney transplantation  Diabetes mellitus
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