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患者,男,36岁。因慢性肾炎、尿毒症,经腹膜透析过渡于1989年8月在外院行同种肾移植术,供受者血型均为B型。术后恢复顺利。术后8个月出现发热,移植肾肿大,局部胀痛,诊断为急性排斥反应,在原单位用甲基强的松龙120mg/d静脉滴注,连续5天。经AHTG、OKT_3、OKT_4等抗排斥治疗,Cr上升并维持在353.6μmol/L,尿量仍保持2000ml。1990年11月再次高热39℃,移植肾胀痛、肿大、质硬,恶心呕吐。BP23/15kPa,体重55.5kg。服CsA0.8ml/d,Pred15mg/d,AZa75mg/d,CTx50mg/
Patient, male, 36 years old. Due to chronic nephritis, uremia, peritoneal dialysis transition in August 1989 in the same hospital allogeneic kidney transplant recipients blood type are B type. Postoperative recovery was successful. 8 months after the onset of fever, transplant kidney enlargement, local pain, diagnosis of acute rejection in the original unit with methylprednisolone 120mg / d intravenous infusion for 5 days. By AHTG, OKT_3, OKT_4 and other anti-rejection therapy, Cr increased and maintained at 353.6μmol / L, urine output remained at 2000ml. In November 1990 again fever 39 ℃, transplant kidney pain, swelling, hard, nausea and vomiting. BP23 / 15kPa, weight 55.5kg. Serum CsA0.8ml / d, Pred15mg / d, AZa75mg / d, CTx50mg /