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本文对３０５例（３１１次）肾移植患者移植前及移植后近期（３个月）的主要心血管并发症进行回顾性分析。结果表明，对疑为冠心病的患者应进行严格筛选，尽可能行冠脉造影术，以确定是否能行外科纠正术，术前低血压影响移植后肾功能的恢复，值得深入探讨；术前高血压是常见并发症，应寻找病因并积极处理。充分透析对纠正术前心律失常极为重要。洋地黄是术后心律失常的重要危险因素，需根据肾功能情况小心调节其用量。术后心力衰用多由容量过多引起，超滤脱水非常重要。
This article retrospectively analyzed the major cardiovascular complications in 305 patients (311) with renal transplant recipients before and after transplantation (3 months). The results show that patients with suspected coronary heart disease should be strictly screened, coronary angiography as much as possible to determine whether surgical correction can be performed, preoperative hypotension affect the recovery of renal function after transplantation, it is worth further study; preoperative Hypertension is a common complication, should look for the cause and deal with it actively. Full dialysis is very important to correct preoperative arrhythmia. Digitalis is an important risk factor for postoperative arrhythmia, need to be carefully adjusted according to the amount of renal function. Postoperative heart failure caused by too much capacity, ultrafiltration dehydration is very important.