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由于潜在受肾者的数量巨增,肾移植肾源的缺乏成为当前迫切问题。从而引起了利用死亡儿童肾脏扩大供肾可能性的广泛研究。1977年Drelkorn,1979年Wilms等报导了应用儿童肾给成年受者肾移植成功的报告。本文分三组分析肾移植结果:15岁以前儿童供肾为第一组(共97例),16—25岁者第二组(共171例)和40岁以上者为第三组(共59例)。取肾和保存方法各组相同。近2年来供肾的冷灌注采取经腹主动脉远端进行,这可排除(减少)热缺血的影响。取肾后用低温灌注器灌注,可保存肾24小时以上。肾脏的适用性各组均确定灌注的速率不少于100ml/分钟,供-受者组织配型均根据HLA和交叉试验配型决定。
Due to the huge increase in the number of potentially affected nephrons, the lack of renal transplantation has become a pressing issue. Which has led to the extensive use of the kidneys to expand the possibility of kidney enlargement of children. In 1977, Drelkorn, Wilms et al. In 1979 reported the success of kidney transplantation in adult recipients. This article divided into three groups analysis of renal transplant results: before the age of 15 children with kidneys for the first group (a total of 97 cases), 16-25 years of the second group (171 cases) and 40 years of age were the third group (59 example). Take the kidney and save the same method in each group. Cold perfusion of the kidneys for the last two years is performed via the distal abdominal aorta, which can eliminate (reduce) the effects of warm ischemia. After taking renal perfusion with low temperature, can save the kidneys more than 24 hours. The applicability of the kidney Each group were determined perfusion rate of not less than 100ml / min, donor-recipient tissue matching are based on HLA and cross-test matching decision.