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本文总结1978~1991年663例肾移植患者中共发现肝功受损162例,发生率24.43%;肝功受损的发生率三联免疫抑制治疗者高于二联免疫抑制治疗。经过七种方案治疗,110例好转(67.9%),16例无变化(9.9%),36例死亡(22.2%)。治疗方案包括:①调整免疫抑制剂:②综合性治疗;③中医中药治疗;④血浆置换或血滤,等。指出合理的治疗方案及合理的药物选择是达到治疗效果的关键。
This article summarizes the 1978 ~ 1991 663 cases of kidney transplant patients found 162 cases of liver damage, the incidence rate of 24.43%; the incidence of liver damage triple immunosuppressive therapy was higher than diphtheria immunosuppressive therapy. After seven kinds of treatment, 110 cases improved (67.9%), 16 cases without change (9.9%) and 36 cases died (22.2%). Treatment options include: ① adjust immunosuppressive agents: ② comprehensive treatment; ③ Chinese medicine treatment; ④ plasma exchange or blood filtration, and so on. Pointed out that reasonable treatment options and reasonable choice of drugs is the key to achieve the therapeutic effect.