解放军医学院学报Issue(5)：433-436,440,5.DOI:10.3969/j.issn.2095-5227.2015.05.007
中国标准Ⅲ类心脏死亡供者肾移植21例临床分析
Renal transplantation from Chinese categoryⅢ cardiac death donors：A clinical analysis of 21 cases
摘要
Abstract
Objective To explore the clinical effect of renal transplantation from donation after cardiac death (DCD) in single center. Methods Follow-up data about 21 cases with DCD renal transplantation in The 309th Hospital of Chinese PLA from April 2012 to September 2014 were retrospectively analyzed.Results Two of fourteen DCD donors were abandoned due to long warm ischaemia time, another 12 cases donated 24 kidneys and 21 cases underwent single kidney transplantation in our hospital. DCD recipients were followed up for 1 to 28 months. Of the 21 cases, primary non-function (PNF) only occurred in one case (4.8%) and delayed graft function (DGF) in 8 (38.1%) recipients, acute rejection (AR) in 4 (19.1%) recipients. Two (9.5%) recipients lost their graft. One case had nephrectomy due to the rupture of graft and one case had nephrectomy due to PNF. Nineteen recipients recovered to normal renal function. But two (9.5%) recipients died with normal renal function, of which, one was acute pneumonia and one was traffic accident. The actuarial survival rates of recipients and graftsat 6, 12, 18, 24 months after renal transplantation were 95.2%, 95.2%, 90.5%, 90.5%, and 85.7%, 85.7%, 80.9%, 80.9%, respectively.Conclusion Chinese categoryⅢ cardiac death transplant recipients have good short term patient/kidney survival rate and is a potential method to relieve the shortage of donative organs.关键词
肾移植/中国标准Ⅲ类心脏死亡器官捐献/预后/人/肾存活Key words
kidney transplantation/Chinese categoryⅢcardiac death donation/prognosis/patient/kidney survival分类
医药卫生引用本文复制引用
李昆,钱叶勇,王振,柏宏伟,常京元,李钢,范宇..中国标准Ⅲ类心脏死亡供者肾移植21例临床分析[J].解放军医学院学报,2015,(5):433-436,440,5.基金项目
首都临床特色应用研究(Z131107002213139)Supported by the Clinical Characteristic Program of Beijing(Z131107002213139) （Z131107002213139）
