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摘要:
目的 探讨甲基苯丙胺中毒脑死亡器官捐献供肾肾移植的效果。 方法 回顾性分析2015年10月1例甲基苯丙胺中毒脑死亡器官捐献供肾用于2例肾移植的临床资料。供者为女性, 22岁, 因甲基苯丙胺中毒导致脑死亡而捐献器官。受者均为女性, 因慢性肾功能不全尿毒症接受肾移植。 结果 2例受者术后4 d血清肌酐恢复正常, 未发生急性排斥反应。术后1年随访血清肌酐及尿量均正常。 结论 甲基苯丙胺中毒脑死亡的患者可以作为器官捐献的供体来源。 -
表 1 2例肾移植受者血清肌酐和尿量的变化
Table 1. Changes of Scr level and urine volume in 2 renal transplant recipients
例序 指标 时间点 术前 术后1 d 术后2 d 术后3 d 术后4 d 术后5 d 术后6 d 术后7 d 术后15 d 出院 术后1年 1 Scr(μmol/L) 945 402 241 189 126 96 115 95 106 91 87 尿量(mL/d) 无尿 5 156 6 270 4 380 3 160 5 080 2 650 3 450 3 760 3 770 2 400 2 Scr(μmol/L) 875 366 212 145 109 95 - 86 87 94 83 尿量(mL/d) 无尿 3 325 7 720 6 625 6 724 5 480 5 900 3 060 3 020 2 700 2 200 -
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