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目的 :提高肾移植超急性排斥反应的诊治水平。方法 :回顾性分析我院在 1993年 12月～ 2 0 0 0年 12月完成的 5 6 8例肾移植中发生的 6例超急性排斥反应 ,其中 5例发生于手术过程中 ,1例发生于术后 36h。结果 :6例均行移植肾切除 ,病理证实为超急性排斥反应。其中 2例随即行再次移植 ,1例移植另一供者的肾脏获得成功 ,另 1例移植同一供者的另一肾脏失败。结论 :超急性排斥反应是肾移植的严重并发症 ,预防是最为重要的 ,良好的HLA配型可防止其发生 ,发生超急排斥反应后 ,随即移植另一供者的肾脏有可能获得成功
Objective: To improve the diagnosis and treatment of hyperacute rejection in renal transplantation. Methods: A retrospective analysis of our hospital from December 1993 to December 2000 completed 568 cases of renal transplantation occurred in 6 cases of hyperacute rejection, 5 cases occurred in the course of surgery, 1 case occurred 36h after surgery. Results: All the 6 cases underwent allograft nephrectomy and the pathology was confirmed as hyperacute rejection. Two of them were transplanted immediately, one of the kidneys was successfully transplanted from another donor, and the other one failed to transplan the same donor’s other kidneys. CONCLUSIONS: Hyperacute rejection is a serious complication of renal transplantation. Prevention is the most important. Good HLA matching can prevent it from occurring. After the hyperacute rejection, transplantation of another donor’s kidney may be successful