Kaden J, Groth J
Z Urol Nephrol. 1980 Nov;73(11):827-33.
Of 145 patients to whom was transferred a cadaver kidney in the Kidney Transplantation Centre Berlin from 1976 to 1978 we examined 4,638 fresh urines (on an average 32 urines per patient) for the existence of lymphocytes during the postoperative hospital stay. The following frequency distribution could be established: 3,377 tests without lymphocytes (72.8%), 1,093 tests with a slight-degree lymphocyturia (less than or equal to 10 lymphocytes/sediment, = 23.6%), 168 tests with a clear lymphocyturia (greater than 10 lymphocytes/sediment, = 3.6%). Here the appearance of a clear lymphocyturia could occasionally be proved at the beginning of rejection crises, in ruptures of the transplant, severe infections and transitory deteriorations of the transplant function, but also at the beginning of the function of the transplant and even at the moment of an undisturbed function of the transplant. According to these findings the determination of the lymphocyturia cannot be recommended for the rejection diagnostics.
1976年至1978年期间,在柏林肾脏移植中心接受尸体肾移植的145例患者中,我们在术后住院期间对4638份新鲜尿液(平均每位患者32份尿液)进行了淋巴细胞检测。结果发现以下频率分布:3377份检测未发现淋巴细胞(72.8%),1093份检测有轻度淋巴细胞尿(≤10个淋巴细胞/沉渣,占23.6%),168份检测有明显淋巴细胞尿(>10个淋巴细胞/沉渣,占3.6%)。在此,明显淋巴细胞尿的出现偶尔可在排斥反应危机开始时、移植肾破裂时、严重感染时以及移植肾功能短暂恶化时得到证实,但在移植肾功能开始时甚至在移植肾功能未受干扰时也会出现。根据这些发现,不建议将淋巴细胞尿的检测用于排斥反应的诊断。