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目的 :分析肾移植术后早期 (3月内 ) 2 3例死亡病例 ,总结经验 ,提高和改善移植效果。方法 :总结 2 3例肾移植术后早期死亡病例 ,分析死亡原因及相关因素。结果 :死亡原因 :感染 1 5例 (65 .2 % ) ;心脑血管并发症 8例 (3 4.8% ) ,其中 5 0岁以上 5例。感染病原学 :混合感染 7例 ,细菌感染 3例 ,CMV感染 4例 ,真菌感染 1例。本组 2 3例中 ,肾功延迟恢复 1 8例 (78.3 % )。结论 :感染是肾移植术后最常见的死亡原因 ;心脑血管并发症多发生于老年人 ,为老年人移植早期的重要死亡原因 ;移植早期死亡与肾功延迟恢复有密切关系 ,合理治疗对预防移植早期死亡具有重要意义
OBJECTIVE: To analyze 23 cases of deaths in early (within 3 months) after renal transplantation and to summarize the experience to improve and improve the transplantation effect. Methods: To summarize the early deaths of 23 cases after renal transplantation and analyze the causes and related factors of death. Results: The causes of death were 15 cases (65.2%) of infections, 8 cases of cardio-cerebral vascular complications (3 4.8%), of which 5 cases were over 5 years old. Infectious etiology: mixed infection in 7 cases, 3 cases of bacterial infection, CMV infection in 4 cases, 1 case of fungal infection. Among 23 cases in this group, renal function recovery was delayed in 18 cases (78.3%). Conclusion: Infection is the most common cause of death after renal transplantation. Cardiovascular complications mostly occur in the elderly, which is an important cause of death in the early stage of transplantation. Early death after transplantation is closely related to delayed recovery of renal function. Preventing early death from transplantation is of great importance