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恶性肾硬化症中的肾移植(作者译)

[Renal transplantation in malignant nephrosclerosis (author's transl)].

作者信息

Altrogge G, Grabensee B, Hofmann K, Risler T, Wagner W

出版信息

Dtsch Med Wochenschr. 1977 Dec 16;102(50):1843-7. doi: 10.1055/s-0028-1105582.

Abstract

Renal transplantation was performed 3 to 64 months after the onset of dialysis in 6 patients with histologically ascertained malignant nephrosclersosis and malignant hypertension, as well as terminal renal failure. Three patients were nephrectomized on both sides before and one after the transplantation. 24 to 105 months after the transplantation all patients were normotensive. Only one patient required low-dosage antihypertensive medication. There was evidence for marked improvement of cardiovascular complications, and no evidence for recurrence of malignant nephrosclerosis in the transplanted kidney.

摘要

6例经组织学确诊为恶性肾硬化症、恶性高血压并终末期肾衰竭的患者,在开始透析3至64个月后接受了肾移植。3例患者在移植前双侧肾切除,1例在移植后双侧肾切除。移植后24至105个月,所有患者血压均正常。只有1例患者需要低剂量降压药物治疗。有证据表明心血管并发症明显改善,且移植肾无恶性肾硬化复发迹象。

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