Diagnosis and Treatment of Early Anuria or Oliguric after Kidney Transplantation (Report of 66 Cases)
10.3969/j.issn.1001-1420.2009.07.018
- VernacularTitle:肾移植术后早期无尿或少尿的诊治(附66例报告)
- Author:
WU PENGFEI
1
;
CAO ZHENGGUO
;
ZHOU SIWEI
;
SUN KAI
Author Information
1. 上海市南汇区光明中医院
- Keywords:
kidney transplantation;
anuria;
oliguric;
treatment
- From:
Journal of Clinical Urology
2009;24(7):535-537
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the diagnosis and treatment of early anuria or oliguric after kidney trans-plantation. Methods: Retrospective analysis of cause, dignosis and different immunodepressant treatments (FK506/CsA + MMF +Pred) of early anuria or oliguria in the 66 patients after kidney transplantation. Results: The primary cause of early anuria or oliguric after kidney transplantation in 66 patients was acute tubular necrosis (77.27%), the second was acute rejection (10.61%). 2 patients with primary grafts nonfunction, and the other 2 patients with rupture and thrombosis of renal artery respectively, were removed grafts after transplantation. The renal function of 34 patients treated with FK506 became normal in 5-35 d after transplantation. The renal function of 24 patients treated with CsA recovered in 7-48 d after transplantation except 1 patient was dead because of acute rejection combined with serve pulmonary infection. And the other 3 patients' serum creatinine ranged from 142 μtmol/L to 215 μtmol/L. Conclusions: The cause of early anuria or oliguric after kidney transplantation should be promptly analyzed and correct treatment should be applied. The combination immunodepressant treatments (FK506 + MMF+Pred) contributed to the early recovery of the renal function after transplantation.
