肾移植患者手术并发症相关的共病因素

M. Abou-Jaoude, H. Nasser, A. Khalaf, W. Abou-Jaoude, Z. Daoud
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引用次数: 3

摘要

我们回顾性研究了1997年5月至2008年1月期间200例肾移植受者的人口统计学特征和与手术并发症相关的不同移植后发病率。将患者分为2组:1组无手术并发症177例,2组有手术并发症23例。分析基线人口统计学和后来的合并症。两组间的基线特征无显著差异,包括供、受者的年龄和性别、受者的体重指数、原发肾脏疾病的原因、移植日期、透析持续时间、受者的敏化程度、移植前糖尿病。但两组间的显著差异包括:前血液和移植后血-球蛋白水平差异(2.6±1.8 mg / dl在我组和4.1±2.0 mg / dl集团II),移植后的输血数量在我组(0.4±0.8和2.2±3.7组II),住院期间(10.9±4.3天在我组,在组II)和17.5±9.2天,平均血清肌酐在放电(1.47±0.84 mg / dl在我组和2.7±2.87 mg / dl集团(二),移植后6个月死亡和移植物衰竭(I组2例vs II组2例,I组3例vs II组5例)。我们得出结论,手术并发症与显著的短期和长期合并症相关,包括住院时间、出院时血清肌酐、移植后6个月死亡和移植失败。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Co-Morbid Factors Related to Surgical Complications in Kidney Transplant Patients
We have studied retrospectively the demographics and different post transplantation morbidities associated with surgical complications in 200 kidney transplant recipients between May 1997 and January 2008. Patients were divided into 2 groups: Group I including 177 patients without surgical complications and Group II including 23 patients who had surgical complications. Baseline demographics and later co-morbidities were analyzed. The baseline characteristics be- tween the 2 groups did not differ significantly, including donor and recipient age and sex, recipient's body mass index, cause of original renal disease, transplantation date, dialysis duration, recipient's degree of sensitization and pre-transplantation diabetes. However significant difference between the 2 groups included: pre and post-transplant hemo- globin blood level differences (2.6 ± 1.8 mg/dl in Group I versus 4.1 ± 2.0 mg/dl in Group II), number of post-transplant transfusions (0.4 ± 0.8 in Group I versus 2.2 ± 3.7 in Group II), duration of hospital stay (10.9 ± 4.3 days in Group I, versus 17.5 ± 9.2 days in Group II), mean serum creatinine upon discharge (1.47 ± 0.84 mg/dl in Group I versus 2.7 ± 2.87 mg/dl in Group II), death and graft failure at 6 months post-transplant (2 in Group I versus 2 in Group II and 3 in Group I versus 5 in Group II respectively). We conclude that surgical complications were associated with significant short and long term co-morbidities, including duration of hospital stay, serum creatinine upon discharge, and death and graft failures at 6 months post-transplantation.
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