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同济医科大学器官移植研究所施行胰移植治疗胰岛素依赖型糖尿病获得成功。最近1例有功能存活9个月以上,患者完全不用胰岛素,血糖维持正常,住院时能参加羽毛球活动,健康出院后可参加轻微的农业劳动。这是我国同种胰移植有功能存活超过1个月以上的首例。 患者,男,29岁。多食、多饮、多尿,进行性消瘦5年余,完全丧失劳动力。空腹血糖420～470mg/dl,尿糖++++。经用胰岛素及其他降糖药物治疗效果差,合并糖尿病性慢性长期腹泻,一般情况日趋衰竭。入院后经馒头餐糖耐量试验及胰岛素释放试验,提示胰岛功能基本丧失,确诊为胰岛素依赖型糖尿病。 1984年6月13日施行了腹腔内胰管阻塞式同种异位节段移植术。供者为脑死亡心跳停止的尸体。经腹主动脉插管以冷Harfmann液作原位供肾、胰
Tongji Medical University Institute of organ transplantation pancreatic transplantation for the treatment of insulin-dependent diabetes success. A recent case of functional survival of more than 9 months, the patient completely without insulin, blood glucose remained normal, hospitalized to participate in badminton activities, health after discharge can participate in minor agricultural work. This is the first case of a functional survival of the same type of pancreas transplant in China for more than 1 month. Patient, male, 29 years old. Eat more, drink more, polyuria, progressive weight loss more than 5 years, completely lost labor. Fasting blood glucose 420 ~ 470mg / dl, urine sugar ++++. After treatment with insulin and other hypoglycemic agents is poor, with chronic chronic diarrhea, the general condition of the increasingly depleted. Admission after the bread glucose tolerance test and insulin release test, suggesting that the basic loss of pancreatic islet function, diagnosed as insulin-dependent diabetes. On June 13, 1984, intraperitoneal pancreatic duct obstruction allogeneic segmental graft was performed. The donor died of a brain death from a heartbeat. The abdominal aorta with cold Harfmann fluid for donor kidney, pancreas