肠内引流式胰肾联合移植 |
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引用本文: | 王禾,周宇,杨晓剑,秦卫军,康福霞,张更,张剑,宋斌,李欣,于磊,秦荣良,明长生.肠内引流式胰肾联合移植[J].第四军医大学学报,2004,25(18):1689-1691. |
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作者姓名: | 王禾 周宇 杨晓剑 秦卫军 康福霞 张更 张剑 宋斌 李欣 于磊 秦荣良 明长生 |
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作者单位: | 第四军医大学西京医院泌尿外科,陕西,西安,710033;华中科技大学同济医学院器官移植研究所,湖北,武汉,430030 |
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摘 要: | 目的: 探讨肠内引流式胰肾联合移植术的术前准备与并发症的防治.方法: 对1例Ⅱ型糖尿病胰岛素依赖期合并尿毒症的患者施行肠内引流式胰肾联合移植术,术后应用他克莫司(FK506)、霉酚酸酯(MMF)、皮质激素三联免疫治疗. 结果: 患者术后第3日肌酐降至正常,术后7 d撤除外源性胰岛素,血糖6~11 mmol/L. 结论: 肠内引流式胰肾联合移植术是治疗Ⅱ型糖尿病合并尿毒症患者的有效方法. 充分的术前准备与严密的术后监测有利于手术的成功.
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关 键 词: | 胰腺移植 肾移植 糖尿病 非胰岛素依赖型 手术后并发症 |
文章编号: | 1000-2790(2004)18-1689-03 |
修稿时间: | 2004年5月30日 |
Simultaneous pancreas-kidney transplantation with enteric drainage |
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Abstract: | AIM: To study the management of simultaneous pancreas-kidney transplantation (SPKT) with enteric drainage. METHODS: One patient with insulin-independent diabetes mellitus and end-stage renal disease underwent SPKT with enteric drainage. The patient was treated with quadruple therapy including FK506, Myco-phenolate-Mofeti (MMF) and prednisone. RESULTS: The patient became insulin-independent 7 d after the operation and BUN became normal 3 d after the operation. CONCLUSION: SPKT with enteric drainage is an effective method for treating type 2 diabetes mellitus with uremia. Good preparation and careful observation are important for the success of the operation. |
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Keywords: | pancreas transplantaticn kidney transplantation diabetes mellitus non-insulin-dependent postoperative complication |
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