renal allograft operations were performed in 969 chronic renal failure patients within 15years,from June 1978 to December 1993.Patients/recipients survival rates were as follows respectively:89.2%/78.7%for 1 year,82.0...renal allograft operations were performed in 969 chronic renal failure patients within 15years,from June 1978 to December 1993.Patients/recipients survival rates were as follows respectively:89.2%/78.7%for 1 year,82.0%/74.7% for 3 years and 67.0%/58.4% fo展开更多
目的探讨婴幼儿死亡后器官捐献(donation after death,DCD)单侧供肾用于成人移植术后的临床特点,总结术后护理要点。方法 2014年1月至2016年6月对36例婴幼儿用于DCD单侧供肾成人受者进行肾移植手术,术后根据患者早期临床特点,给予针对...目的探讨婴幼儿死亡后器官捐献(donation after death,DCD)单侧供肾用于成人移植术后的临床特点,总结术后护理要点。方法 2014年1月至2016年6月对36例婴幼儿用于DCD单侧供肾成人受者进行肾移植手术,术后根据患者早期临床特点,给予针对性护理对策。结果 36例婴幼儿DCD单侧供肾用于成人肾移植术后发生肺部感染3例,切口感染2例,移植肾血栓2例,移植肾输尿管尿瘘2例,移植肾功能延迟恢复(delayed graft function,DGF)16例。术后随访1~20个月,36例受者均成活,其中34例受者移植肾功能恢复良好,2例因移植肾动静脉血栓形成而切除移植肾。结论婴幼儿DCD单侧供肾用于成人肾移植手术难度大,术后并发症多,护理难度大。在护理方面应加强术中、术后患者血压的监控,严格控制出入量的管理,做好早期并发症的观察及护理,其对提高移植肾的存活率,减少并发症发生,促进患者早期康复具有重要意义。展开更多
文摘renal allograft operations were performed in 969 chronic renal failure patients within 15years,from June 1978 to December 1993.Patients/recipients survival rates were as follows respectively:89.2%/78.7%for 1 year,82.0%/74.7% for 3 years and 67.0%/58.4% fo
