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长期透析和移植后肾功能的恢复。

Recovery of renal function after prolonged dialysis and transplantation.

作者信息

Nunan T O, Stevens E A, Croft D N, Hilton P J, Jones N F, Wing A J

出版信息

Br Med J (Clin Res Ed). 1983 Jul 23;287(6387):248-9. doi: 10.1136/bmj.287.6387.248.

DOI:10.1136/bmj.287.6387.248
PMID:6409268
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1548843/
Abstract

Out of 250 patients with renal failure, seven (2.8%) treated by regular haemodialysis alone (four) or given cadaveric allografts (three) later showed recovery of function of their own kidneys lasting from one to four years. In the patients receiving haemodialysis alone recovery was easily recognised from their serum creatinine concentrations, but in those with transplants recovery was discovered unexpectedly during radionuclide scanning. These findings suggest that recovery of renal function may be more common than generally recognised, which should be borne in mind when beginning renal replacement treatment and particularly when contemplating bilateral nephrectomy.

摘要

在250例肾衰竭患者中,7例(2.8%)仅接受常规血液透析治疗(4例)或接受尸体同种异体肾移植(3例),之后其自身肾脏功能恢复持续1至4年。仅接受血液透析治疗的患者,其血清肌酐浓度很容易显示出恢复情况,但接受肾移植的患者,其肾功能恢复是在放射性核素扫描时意外发现的。这些发现表明,肾功能恢复可能比普遍认为的更为常见,在开始肾脏替代治疗时,尤其是在考虑双侧肾切除时,应牢记这一点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb96/1548843/7ad0c5b48f65/bmjcred00563-0010-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb96/1548843/7ad0c5b48f65/bmjcred00563-0010-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb96/1548843/7ad0c5b48f65/bmjcred00563-0010-a.jpg

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2
Recovery of renal function after long-term dialysis in hemolytic uremic syndrome.溶血尿毒综合征长期透析后肾功能的恢复
Pediatr Nephrol. 2004 Feb;19(2):229-31. doi: 10.1007/s00467-003-1337-4. Epub 2003 Nov 27.
3
The true clinical significance of renography in nephro-urology.肾图在肾泌尿学中的真正临床意义。

本文引用的文献

1
Combined report on regular dialysis and transplantation in Europe. X, 1979.
Proc Eur Dial Transplant Assoc. 1980;17:2-86.
2
Recovery of kidney function following prolonged acute renal failure.
Proc Eur Dial Transplant Assoc. 1979;16:495-9.
Eur J Nucl Med. 1997 May;24(5):557-70. doi: 10.1007/BF01267689.
4
Recovery of renal function after transplantation.移植后肾功能的恢复
Br Med J (Clin Res Ed). 1983 Sep 17;287(6395):838.