Stefanov G, Beleva B
Vutr Boles. 1981;20(1):34-9.
The authors report the results from the follow-up of 14 patients with transplanted kidney, three out of them with a lethal end--mycotic sepsis--1, purulent peritonitis--1 and of transplant lung-syndrome--1. The rest (11-78,5%) were in a good condition during 1 year and 8 months to 6,5 years (an average of 4 years and 10 days by April 30, 1980). Eleven of the patients had their transplantations performed by Prof. Sumakov--Prof. Levizkii in Moscow and three--by Prof. Hamburger, Prof. Crosnier, Prof. Lacomb in Necker Hospital, Paris. During the follow-up period those 14 patients had the following complications: 15 acute crises of rejection, successfully coped, with residual phenomena in 4 of them; 10--uroinfections, 7--other infections, one mycotic sepsis and one purulent peritonitis with a lethal end; three with epidermic hepatitis, one--Herpes zoster, two bronchopneumonias, one perinephritis, 6--with arterial hypertension that necessitated binephrectomy in two, three patients with steroid diabetes--cured, four with aseptic osteonecrosis of the head of the femur, necessitating prosthesis of the femoral joint in one patient, 5--with surgical complications, corrected at the transplantation centers. Furthermore, one case with transplant lung-syndrome, successfully restored to health as reported by the authors. All those 11 patients with transplantations are in good health (one with a chronic rejection crisis) and 8 of them--work. The authors stress upon the follow-up of the renal patients with transplantation as an important step, consolidating the remote results of renal transplantation.
作者报告了14例肾移植患者的随访结果,其中3例死于致命的终末期——霉菌性败血症1例、化脓性腹膜炎1例和移植肺综合征1例。其余患者(11例,占78.5%)在1年8个月至6年5个月期间(截至1980年4月30日平均为4年零10天)情况良好。11例患者的移植手术由莫斯科的苏马科夫教授和列维茨基教授实施,3例由巴黎内克尔医院的汉堡教授、克罗西耶教授和拉孔布教授实施。在随访期间,这14例患者出现了以下并发症:15次急性排斥反应危机,均成功应对,其中4例有残余现象;10次泌尿系统感染,7次其他感染,1例霉菌性败血症和1例化脓性腹膜炎并导致死亡;3例患表皮性肝炎,1例患带状疱疹,2例患支气管肺炎,1例患肾周炎,6例患动脉高血压,其中2例需要进行双侧肾切除,3例患类固醇性糖尿病已治愈,4例患股骨头无菌性坏死,其中1例需要进行股骨关节置换,5例有手术并发症,在移植中心得到纠正。此外,作者报告有1例移植肺综合征患者已成功康复。所有这11例接受移植的患者目前健康状况良好(1例有慢性排斥反应危机),其中8例在工作。作者强调对肾移植患者进行随访是巩固肾移植远期效果的重要一步。