Rh阳性患者接受Rh阴性尸体供肾肾移植2例并文献复习

马帅军; 郑昱; 刘克普; 阮东丽; 李智斌; 张更; 杨晓剑; 袁建林

doi:10.3969/j.issn.1674-7445.2015.03.012

Rh阳性患者接受Rh阴性尸体供肾肾移植2例并文献复习

doi: 10.3969/j.issn.1674-7445.2015.03.012

710032 西安, 第四军医大学西京医院泌尿外科

详细信息

通讯作者:
袁建林,Email:jianliny@fmmu.edu.cn

中图分类号: R617
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- PDF下载量: 5
- 被引次数: 0
出版历程
- 收稿日期: 2015-02-12
- 网络出版日期: 2021-01-19
- 刊出日期: 2015-05-15

Rh-positive patients receiving kidney grafts from Rh-negative cadaver donor: a report of two cases and literature review

Department of Urology, Xijing Hospital, the Fourth Military Medical University, Xi'an 710032, China

More Information

Corresponding author: Yuan Jianlin, Email: jianliny@fmmu.edu.cn

摘要

摘要: 目的探讨Rh阳性患者接受Rh阴性尸体供肾肾移植的安全性。方法 2013年11月29日,第四军医大学西京医院泌尿外科为两例Rh阳性患者实施Rh阴性尸体供肾肾移植术。回顾性分析两例患者的临床资料并复习相关文献。结果两例患者手术成功,术后均未出现超急性排斥反应或急性排斥反应。随访12个月,移植肾存活良好,患者无明显不适。结论通过术前加强免疫抑制,充分灌注及严密术后监测,Rh阳性患者接受Rh阴性尸体供肾肾移植是安全的。
- 肾移植 /
- Rh血型 /
- 血型不符 /
- 尸体供肾 /
- 过客淋巴细胞综合征
Abstract: Objective To discuss the safety of Rh-positive patients receiving kidney grafts from Rh-negative cadaver donor. Methods On November 29^th 2013, two Rh-positive patients received renal transplantation with kidney grafts from Rh-negative cadaver donor at the Department of Urinary Surgery of Xijing Hospital, the Fourth Military Medical University. The clinical data of the two patients were analyzed retrospectively and the relevant literatures were reviewed. Results The two patients underwent renal transplantation successfully and no hyperacute rejection or acute rejection occured after the surgery. The two patients were followed up for 12 months. The kidney grafts survived well and the patients had no obvious discomfort. Conclusions Through enhanced immunosuppression before operation, sufficient perfusion and close postoperative monitoring, it is safe for Rh-positive patients receiving kidney grafts from Rh-negative cadaver donor.
- Renal transplantation /
- Rh blood type /
- Blood type incompatibility /
- Cadaveric donor kidney /
- Passenger lymphocyte syndrome

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表 1 肾移植患者(例2)术后检测指标及其处理措施

Table 1. Indicators and treatments of the renal transplant patient after operation(case 2)

时间	血红蛋白(g/L)	Scr(μmol/L)	总胆红素(μmol/L)	尿胆原	处理措施
手术当日	-	565	-	-	-
术后第1日	70	463	-	-	给予B型Rh阳性少白红细胞悬液2 U静脉输注
术后第2日	66	245	25.4	阳性	患者无明显不适，复查腹部超声见移植肾血流良好，给予B型Rh阳性少白红细胞悬液4 U静脉输注
术后第3日	90	184	22.4	阳性	给予B型Rh阳性少白红细胞悬液3 U静脉输注
术后第4日	115	-	-	-	-
术后第10日	118	122	-	-	无明显不适，康复出院

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