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- W3030179697 abstract "目的 报告32例胰、肾同期联合移植(SPK)的近期结果及经验.方法为合并尿毒症的27例1型糖尿病和5例2型糖尿病患者施行SPK,其中胰液膀胱引流(BD)术式2例,改进的胰液空肠引流(ED)术式30例.术后早期采用他克莫司、霉酚酸酯及皮质激素预防排斥反应,同时以抗淋巴细胞球蛋白或抗CD25单克隆抗体诱导治疗.结果32例手术均获得成功,术后随访2～12个月,1例术后9周死于肺部感染,死亡时肾功能正常,另1例术后6个月死于急性心肌梗死,死亡时移植胰、肾功能正常,其余患者目前仍存活;术后(12.7±8.1)d空腹血糖恢复正常,(8.3±4.5)d停用胰岛素,(8.4±7.8)d血肌酐恢复正常.术后发生手术相关并发症有出血、移植胰切口感染、上消化道出血、右股静脉血栓形成和淋巴漏;其它并发症有药物不良反应、肺部感染,采用BD术式者并发代谢性酸中毒和镜下血尿;4例发生移植肾急性排斥反应,均经活检证实.结论SPK治疗糖尿病并发尿毒症的近期疗效满意,ED术式更符合正常生理。" @default.
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- W3030179697 date "2006-01-20" @default.
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- W3030179697 title "Short-term follow-up of 32 simultaneous pancreas-kidney transplantation" @default.
- W3030179697 doi "https://doi.org/10.3760/cma.j.issn.0254-1785.2006.01.011" @default.
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