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病例介绍洪××,男性,36岁,浙江云和县人,住院号409114。患者患慢性肾炎尿毒症伴心包炎于1976年6月28日入院。经腹膜透析20天过渡至血液透析,后于1977年4月28日行同种异体肾脏移植术。术后常规应用免疫抑制剂至第二十一天,出现急性排异,加用琥珀氢化考的松治疗10天,总量29,150毫克,同时血液透析6次,排异得到控制,移植肾功能得到恢复.随访中又并发齿龈脓肿、肠炎.2年中免疫抑制剂用量:强的松逐渐减至7.5毫克/日,硫唑嘌呤100毫克/日.血肌酐2~4毫克%,能恢复工作。1979年2月20日因间歇性寒颤发热,体温最
Case description Hong × ×, male, 36 years old, Zhejiang Yunhe County, hospital number 409114. Patients suffering from chronic nephritis uremia with pericarditis was admitted on June 28, 1976. Peritoneal dialysis 20 days to hemodialysis, after April 28, 1977 allogeneic kidney transplant. Postoperative routine immunosuppressive agents until the 21st day, acute rejection, plus amber hydrocortisone treatment for 10 days, the total amount of 29,150 mg, while hemodialysis 6 times, rejection control, renal graft function obtained Recovery. Follow-up with gingival abscess, enteritis. 2 years the amount of immunosuppressive agents: prednisone gradually reduced to 7.5 mg / day, azathioprine 100 mg / day. Serum creatinine 2 to 4 mg%, to resume work. February 20, 1979 due to intermittent chills fever, the most temperature