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肾移植患者血液流变学参数的临床意义

Clinical significance of hemorrheological parameters in patients with renal transplantation.

作者信息

Wang X Y, Xia S S, Tang J Z

出版信息

J Tongji Med Univ. 1989;9(4):232-4. doi: 10.1007/BF02909089.

Abstract

Hemorrheological studies carried out on 14 recipients of cadaveric kidney transplant regularly before and after transplantation showed very significant differences in plasma viscosity in the period of stable function after successfully transplanted kidney, dialysis before transplantation, and renal rejection (P less than 0.001). Significant difference was observed in fibrinogen level in cases with stable normal function and rejection (P less than 0.05). Significant positive correlation was found between plasma viscosity and fibrinogen level in patients on dialysis as well as after transplantation. The results in this series showed that abnormal changes in hemorrheology respond to the development of rejection episode and deterioration of renal function in patients after receiving cadaveric renal allografts.

摘要

对14例尸体肾移植受者在移植前后定期进行血液流变学研究,结果显示,在移植成功后的功能稳定期、移植前透析期和肾排斥期,血浆粘度存在非常显著的差异(P<0.001)。在功能稳定正常和排斥的病例中,纤维蛋白原水平存在显著差异(P<0.05)。透析患者以及移植后患者的血浆粘度与纤维蛋白原水平之间存在显著正相关。本系列研究结果表明,血液流变学的异常变化与尸体肾移植受者肾排斥反应的发生及肾功能恶化有关。

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