Discussion on circulating fluid replacement in the polyuria stage after simultaneous islet cell-renal transplantation

VernacularTitle:胰岛细胞联合肾移植术后多尿期循环补液方案的探讨
Author: Li DONG ; Hong LI ; Na LI ; Zhifeng LUO
Publication Type:Journal Article
Keywords: Simultaneous islet cell-renal transplantation; Polyuria stage; Circulating fluid replacement
From: Chinese Journal of Practical Nursing 2013;29(29):41-43
CountryChina
Language:Chinese
Abstract: Objective To discuss and improve the scheme of circulating fluid replacement in the polyuria stage after simultaneous islet cell-renal transplantation.Methods Nursing data of 26 patients after simultaneous islet cell-renal transplantation during the polyuria stage were analyzed retrospectively,the impact on spend-and-tax circulating fluid replacement on the outcome after surgery was observed.Results In 26 patients,3 case suffered graft function recovery delay,23 patients' renal function recovered smoothly without water-electrolyte and acid base disorders in period of diuresis,compared with the 16 cases with traditional fluid replacement in the same time,serum creatinine (SCr),blood urea nitrogen (BUN) and blood glucose (BG) decreased significantly in 72 h.Conclusions Using spend-and-tax fluid replacement can reduce postoperative complications such as water-electrolyte and acid-base disorders in simultaneous islet cell-renal transplantation patients,and promote the functional recovery of transplanted islet cells and kidney.