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肾移植术后消化系统并发症442例
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- Author:
- No author available
- Journal Title:
- WORLD CHINESE JOURNAL OF DIGESTOLOGY
- Issue:
- 1
- DOI:
- 10.3969/j.issn.1009-3079.2005.01.032
- Key Word:
- No keyword available
Abstract： 目的:提高对肾移植术后消化系统并发症的预防及早期处理的认识.方法:回顾性分析我科1994-01/2003-12肾移植术后824例905例次消化系统并发症.结果:术后合并消化系统疾病442例次(48.8%),其中肝功能异常236例(26.1%)(1例因CMV病致重症肝炎死亡),急性胃黏膜病变37例(4.1%),均在术后3-5 mo内发生,另有1例(1.1‰)出现上消化道出血伴反复呕吐及黑便,最终因呕吐胃内容物导致窒息抢救无效死亡.腹泻165例(18.2%),其中慢性腹泻28例(3.1%),肠梗阻1例(1.1‰),出血性肠坏死1例(1.1‰),肠结核1例(1.1‰),消化系统肿瘤(肠系膜非霍奇金淋巴瘤)1例(1.1‰).结论:消化系统并发症是肾移植接受者主要并发症,合理使用免疫抑制剂、个体化处理可以减少消化系统并发症的发生.肾移植术后早期腹泻等症状主要是由MMF等药物或真菌感染所致.肾移植术后应重视上消化道出血,早期发现并予制酸剂及时处理预后较好.一些少见的消化系统并发症如肠梗阻、肠坏死、肠系膜淋巴结结核、消化系肿瘤、肠息肉也应该加以重视.
- [1]金红旭,张雪峰,王正强.肾移植术后回肠结核并出血、梗阻1例报告[J].2003,(11).
- [2]陈村龙,宋于刚,周殿元.胃肠道出血的内镜诊治[J].2003,(6).
- [3]蔡文智,王凤红,张秀华.急性消化道大出血患者静脉输液途径的筛选[J].2004,(9).
- [4]Lakhtakia S,Narayan G,Sinha S,etc.Acute pancreatitis following kidney transplantation - role of viral infections.[J].2003,17(1).
- [5]Sheil AG.Cancer in immune-suppressed organ transplant recipients: aetiology and evolution.[J].1998,30(5).
- [6]R, Patel,D R, Snydman,R H, Rubin,etc.Cytomegalovirus prophylaxis in solid organ transplant recipients.[J].1996,61.
- [7]M I, Lorber,C T, Van Buren,S M, Flechner,etc.Hepatobiliary and pancreatic complications of cyclosporine therapy in 466 renal transplant recipients.[J].1987,43.
- [8]Patel R,Cockerill FR,Allen SL,etc.Natural history of vancomycin-resistant enterococcal colonization in liver and kidney transplant recipients.[J].2001,7(1).
- [9]H, Hadimeri,G, Nordén,S, Friman,etc.Autosomal dominant polycystic kidney disease in a kidney transplant population.[J].1997,12.
- [10]王社论,岳茂兴.上消化道出血827例结局分析[J].1999,(11).
- [11]S, Roncella,G, Cutrona,M, Truini,etc.Late Epstein-Barr virus infection of a hepatosplenic gamma delta T-cell lymphoma arising in a kidney transplant recipient.[J].2000,85.
- [12]Rautelin H,Halme L,Sarkio S.The course of Helicobacter pylori infection in kidney transplantation patients.[J].2003,38(1).
- [13]T M, Chan,A S, Lok,I K, Cheng.Hepatitis C in renal transplant recipients.[J].1991,52.
- [14]Hidefumi Kishikawa,Yasuji Ichikawa,Koji Yazawa,etc.Malignant Neoplasm in Kidney Transplantation[J].1998,5(6).
- [15]A, Weissmann,S, Linn,S, Weltfriend,etc.Epidemiological study of classic Kaposi's sarcoma: a retrospective review of 125 cases from Northern Israel.[J].2000,14(2).