亲属活体肾移植68例的相关技术配合.pdfVIP

中国组织工程研究与临床康复 第J2眷 第5期 2008一OI_29出版 经验交流 JournalofClinicalRehabilitativeTissueEngineeringResearch January 29,2008 Vo1．12,No．5 亲属活体肾移植68例的相关技术配合 朱映霞，罗桂元，李文姬．马育璇 (中山大学附属第一医院手术室，广东省广州市 510080) Technical assistance of living related renal 以解决部分肾源问题。亲属活体肾移植疗效确切，是拓展供体 transplantation in 68 cases 来源的重要手段，国外实施的肾移植手术有40％ 50％为亲属 Zhu Ying—xia，Luo Gui-yuan，Li Wen-ji，Ma Yu—xuan(Operation 活体供肾…。本文主要考察活体亲属肾移植术的技术配合特点 Room，FirSt Hospital of Sun Yat-sen University，Guangzhou 510080，Guangdong Province，China) 及手术结果。 1 对象和方法 Abstract Sixty—eight cases undergoing living related renal transplantation in First 设计：病例分析。 Hospital of Sun Yat—sen University between April 2Oo4 and August 2O07 were selected．The informed consent was obtained from 山e dono~ and 单位：中山大学附属第一医院手术室。 recipients． Th e clinical data about operation assistance were 对象：选择2004—0412007—08于中山大学附属第一医院行 retrospectively analyzed，including the pre—operation air sterilization in operation room，preparation of apparatus，one—off utensils and medicine， 活体亲属肾移植术的受者68ff0，男45例，女23例：年龄l7—4l donor position fLxation，assistance in kidney perfusion and preparation， 岁，平均3l岁；均为慢性肾小球肾炎所致的慢性肾功能衰竭尿 management and usage of medicines，and steps of assistance during operation by instrument nurse．Th e results show山e operational apparatus 毒症期，均有不同程度的贫血、高血压。供者68ff0，男32ff0， and utensils were prepared wel1．and山e nurses knew well operation 女36例：年龄l9—62岁，平均43岁；术前身体健康，无疾、弱 process and worked in harmony with山e surgeons．For山e 68 donor kidneys．山e warm ischemic time was I-6 minutes．and cold ischemi c time 智及精神症状等，均为自愿捐献。供受者关系：父母供给子女 was l 0-Il8 mi nutes．Th e operations for bo山 donors and recipients Fan