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1病例介绍患者1女,27岁。2014年3月21日行心脏死亡器官捐献(DCD)肾移植术。供者为男性,5岁,颅脑损伤而导致心脑死亡,供肾热缺血时间18 min,冷缺血时间8 h。患者术后移植肾功能延迟恢复(DGF),继续维持血液透析(血透)治疗,采用他克莫司、吗替麦考酚酯、泼尼龙三联免疫抑制方案抗排斥反应。术后血压高,最高达205/128 mm Hg(1 mm Hg=0.133 k Pa),持续使用硝普钠或硝酸甘油降压。
1 case description Patient 1 female, 27 years old. March 21, 2014 Cardiac Death Organ Donation (DCD) Kidney Transplantation. The donor was a male, 5 years old, with brain injury resulting in cardiocerebral injury, renal warm ischemia for 18 min and cold ischemia for 8 h. Patients were treated with delayed graft recovery (DGF) and hemodialysis (hemodialysis) was continued. Tacrolimus, mycophenolate mofetil and prednisolone triple immunosuppressive regimens were used for anti-rejection. Postoperative high blood pressure, up to 205/128 mm Hg (1 mm Hg = 0.133 k Pa), continued use of sodium nitroprusside or nitroglycerin depressurization.