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心跳停止后尸肾整块切取技术不同于脑死亡尸肾切取,它要求简便、快速、安全.我院自1989年初至1993年底,采用逐步形成的以“三人、三步”为特征的心跳停止后尸肾整块快速切取方法,共切取尸肾692个,行肾移植术671例次,切肾手术时间平均为5分半钟(3~7分钟),灌洗双肾时间平均为3分半钟(2~5分钟),肾血管、肾、输尿管损伤率2.4%,无法利用的占0.7%,可利用率为99.3%.行肾移植术后发生移植肾急性肾小管坏死的占2.2%,无移植肾感染.实践中体会到,此法能达到前述尸肾切取的要求,特予介绍.
After the cessation of the heartbeat, the carcunar lump resection technique is different from the brain cadaveric cadaveric cadaver and it requires simple, rapid and safe treatment.Our hospital from the beginning of 1989 to the end of 1993 adopted the step-by-step three- and three- Postmortem fasting whole body method, a total of 692 corpses were taken, 671 cases of renal transplant surgery, the average time of kidney surgery is 5 minutes and a half minutes (3 to 7 minutes), lavage the average time of 3 minutes for both kidneys Half a second (2 to 5 minutes), renal vascular, renal, ureteral injury rate of 2.4%, 0.7% can not be used, the availability rate was 99.3% after renal transplantation occurred in acute renal tubular necrosis accounted for 2.2% , No transplanted kidney infection.Experience in practice, this method can achieve the aforementioned requirements of corporectomy, especially for the introduction.