Practical Journal of Organ Transplantation(Electronic Version) ›› 2013, Vol. 1 ›› Issue (5): 290-292.DOI: 10.3969/j.issn.2095-5332.2013.05.005

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Hump shape change of urine after second time kidney transplantation：1 case report and the literature review

GAO Jian，JIANG Wei，LIU Yan-bin，PEI Xiang-ke，YU Meng，YANG Qi-shun.
  

  1. The People's Liberation ArmyBeidaihe 281 Hospitals Beijing Military Area Command Kidney Transplant Center Urology，Qinhuangdao 066100，China
  • Online:2013-09-20 Published:2021-04-28

二次肾移植后驼峰状尿量变化：附 1 例报告并文献复习

高建，姜伟，刘彦斌，裴向克，禹猛，杨其顺
  

  1. 解放军北戴河 281 医院北京军区肾脏移植中心泌尿外科，河北 秦皇岛 066100

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Abstract:

Objective To explore a common cause of delayed graft function（DGF）and its diagnosis and treatment methods. Methods One patient after renal transplantation were reported，who experience hump shape change of urine up to 2 months，and the related literature of the disease were reviewed toanalyze the causes of DGF. Results The allograft kidney transplantation patient show a hump shape change of urine，and was treated by porcine immunoglobulin of anti-human T cells，and Danshen andChuanqongqin injection improving micro circulation. Regular hemodialysis was performed to remove the body of inflammatory mediators，and water， electrolyte and acid-base balance were maintained，and infection prevention and support treatment were done. Patient was discharged as urine output was gradually stabilized about 2 000 mL，and serum creatine around 130 μmol/LConclusion Full awareness of the common causes of DGF is helpful to reduce the incidence of DGF. In case of occurrence，early blood purification and auxiliary measures should be performed，and most DGF can recover.

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摘要：

目的 探讨移植肾功能延迟恢复（DGF）的常见病因及其诊治方法。方法 报告 1 例患者在肾移植术后出现持续时间长达 2 个月的驼峰状尿量变化，并对该病的相关文献进行复习，分析引起 DGF 的因素。结果 该患者行同种异体肾移植术后尿量出现驼峰状变化，经给予静脉输入抗人 T 细胞猪免疫球蛋白，应用丹参川芎嗪注射液等药物改善循环，并规律血液透析治疗清除体内的炎症介质，维持水、电解质和酸碱平衡，预防感染和支持治疗后，患者尿量逐渐趋于稳定 ；波动于 2 000 mL 左右，血肌酐稳定于 130 μmol/L左右后出院。结论 充分认识 DGF 的常见病因有利于降低 DGF 的发生率，一旦发生应宜早期选择血液净化，辅助相应措施，绝大多数 DGF 可以恢复。

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Practical Journal of Organ Transplantation(Electronic Version)
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