Belorusov O S, Goriainov V A, Sadovnikov V I, Pozharnov A S
Urol Nefrol (Mosk). 1995 Jan-Feb(1):35-8.
Electromagnetic flowmetry was performed in 53 recipients of kidneys from related donors to investigate intraoperative hemodynamics and its relationships with such factors as the degree of histocompatibility between the donor and recipient, of blood relationship, renal laterality. The real total blood flow was compared to proper flow according to Inke formula. The result of this comparison gave evidence for angiospasm or vasodilation. The range of real flow was much wider in the recipients than in donors. This reflected much more frequent angiospasms and vasodilation in the recipients: the transplants displayed angiospasms in 26.2% of the cases. The angiospastic patients developed rejection crises 2 times more frequently than those without the spasms. It is concluded that intraoperative vasoconstriction denotes greater probability to develop rejection crisis in early postoperative period.
对53名接受亲属供肾的受者进行了电磁血流测定,以研究术中血流动力学及其与供受者组织相容性程度、血缘关系、肾脏位置等因素的关系。将实际总血流量与根据英克公式计算出的正常血流量进行比较。这种比较结果为血管痉挛或血管扩张提供了证据。受者的实际血流量范围比供者的要宽得多。这反映出受者中血管痉挛和血管扩张更为频繁:移植肾在26.2%的病例中出现血管痉挛。血管痉挛患者发生排斥危机的频率比无痉挛患者高出2倍。得出的结论是,术中血管收缩表明术后早期发生排斥危机的可能性更大。