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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.

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

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