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某中年妇女予接受同种肾移植后服用环抱霉素A12mg/kg/日和强的松110mg/日治疗。在肾移植后3个月内,患者的环孢霉素剂量渐减至6mg/kg,强的松剂量减至15mg。 然而,患者肾功能开始逐渐减退。肾移植后约10个月,患者感觉不适、厌食和体重增加。入院时检查患者血压为136/88mmHg。心率70次/分,体温36.4℃,双足中度水肿,面部多毛,手指有频细震颤,并可触及移植的肾脏。患者血清电解质浓度正常,血红蛋白浓度下降为8.9g/L,白细胞计数高达17000/mm~3,血尿
A middle-aged women to accept the same kind of kidney transplantation after taking clindamycin A12mg / kg / day and prednisone 110mg / day treatment. Within 3 months after kidney transplantation, the patient’s dose of cyclosporine decreased to 6mg / kg and the dose of prednisone to 15mg. However, the patient’s renal function begins to diminish. About 10 months after kidney transplantation, the patient feels discomfort, anorexia and weight gain. The patient’s blood pressure at admission was 136/88 mmHg. Heart rate 70 beats / min, body temperature 36.4 ℃, moderate edema of both feet, facial hairy, fingers fine tremor, and can reach the transplanted kidney. Patients with normal serum electrolyte concentration, hemoglobin concentration decreased to 8.9g / L, white blood cell count up to 17000 / mm ~ 3, hematuria