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输血对肾移植和尿毒症患者生存率的影响。

Influence of blood transfusions on kidney transplant and uremic patient survival.

作者信息

Solheim B G, Flatmark A, Jervell J, Arnesen E

出版信息

Scand J Urol Nephrol Suppl. 1977(42):65-9.

PMID:356226
Abstract

The influence of blood transfusions on kidney graft survival in 167 first cadaveric transplants and 85 first living related transplants is presented. Blood transfusions had no effect upon kidney graft survival in the patients transplanted with kidneys from living related donors. A significantly better graft survival was observed in the transfused group of patients transplanted with cadaveric kidneys. This beneficial effect was most pronounced in men. When patient survival was analyzed, however, a possible beneficial effect of blood transfusions was almost nulled out when patients dying while waiting for a transplant were included. The majority of these latter patients had been transfused and many had formed HLA antibodies.

摘要

本文介绍了输血对167例首次尸体肾移植和85例首次亲属活体肾移植患者肾移植存活情况的影响。对于接受亲属活体供肾移植的患者,输血对肾移植存活没有影响。在接受尸体肾移植的输血患者组中,观察到移植肾存活情况明显更好。这种有益效果在男性中最为明显。然而,在分析患者生存率时,如果将等待移植期间死亡的患者包括在内,输血可能产生的有益效果几乎被抵消。这些后期死亡的患者大多数都接受过输血,而且许多人已经形成了HLA抗体。

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