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上海市第一人民医院 |肾移植中心|肾脏外科|肾癌|肾囊肿|肾上腺肿瘤| | firstkidney.org Reviews
https://firstkidney.org
上海交通大学附属第一人民医院肾移植中心官网 肾脏移植是上海市第一人民医院的优势学科,由我国著名的器官移植专家、中国
上海市第一人民医院 |肾移植中心|肾脏外科|肾癌|肾囊肿|肾上腺肿瘤|
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中国透析移植研究会(Chinese Dialysis and Transplant Association, CDTA)由我国著名的泌尿外科和器官移植专家谢桐教授于1991年创 立并担任主任委员, 是全球仅次于欧洲透析移植研究会 EDTA 和 北美透析移植协会 NASDAT 以后的第三大透析移植学会,学会的 宗旨是促进我国透析与肾脏移植的临床和肾移植研究。
上海市第一人民医院 |肾移植中心|肾脏外科|肾癌|肾囊肿|肾上腺肿瘤|
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4 PRA 群体反应性抗体 测定 一般来说低于5%判定为阴性,如PRA较高,肾移植后容易出现体液性的排斥反应,但并非所有致敏病人都不能施行肾移植术,当PRA 50 时常列入暂不适宜移植对象。 2 加速性排斥反应 一般发生在肾移植术后2 5天。 此类排斥反应一种是见于亲属肾移植,当输供者特异性血液后,受者产生直接针对供者T细胞HLA 类抗原的抗体而发生反应 一种是受者体内有针对低水平的抗HLA 类抗原的抗体,抗原抗体结合而产生的反应 还有一种可能是受者有抗供者血管内皮细胞的抗体。 主要表现为低热 多在38 以下 ,尿量逐渐减少,体重增加,移植肾区肿大和压痛,腹胀,血压升高,血肌酐上升,出现蛋白尿等。 2 术后免疫抑制剂的合理应用和调整 肾移植术后应严密监测免疫抑制剂的用量,特别是钙调素抑制剂 CsA和FK506 应定期检测血药浓度,使患者在排斥反应和药物毒性间维持良好的平衡。 美国器官共享网(UNOS)统计1995年至2002年施行的活体肾移植,受者1年和5年存活率分别为97.6 和 92.5 ,移植肾1年和5年的存活率分别为94.4 和78.7 ,远高于尸体肾移植。 Knight等对296例肾移植资料进...
上海市第一人民医院 |肾移植中心|肾脏外科|肾癌|肾囊肿|肾上腺肿瘤|
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上海市第一人民医院 |肾移植中心|肾脏外科|肾癌|肾囊肿|肾上腺肿瘤|
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多年来,把血尿、疼痛和肿块称为肾癌的“三联征”,大多数病人就诊时已具有1个 2个病状,三联征俱全者占10 左右,很少有可能治愈。 可以发现未引起肾盂肾盏改变和无病状的肾癌,可准确的测定肿瘤密度并可在门诊进行CT可准确分期有人统计其诊断准确性 侵犯肾静脉91 ,肾周围扩散78 淋巴结转移87 ,附近脏器受累96。 关于根治性肾癌切除术是否进行局部淋巴结清扫尚有争议,有的认为淋巴结转移时往往有血行转移,有淋巴转移的病例最终都出现血行转移,淋巴结分布广,不易清除干净 但亦有人认为,淋巴结转移主要在肾门附近、下腔静脉和主动脉区, 可以根治性切除, 但根治性淋巴结清扫手术发现有转移灶者,很少有生存超过5年者。 近年来科学工作者将攻克肾癌的希望寄托在能将细胞内信号传导通路中的一些关键分子作为靶点对肿瘤进行治疗的靶向治疗药物上肾癌的分化、增殖及转移过程都离不开诸多细胞因子的作用, 现有的靶向治疗药或作用于其中的单个位点,或作用于多个因子,从而通过抑制肿瘤血管的生成和肿瘤细胞增殖两个方面达到治疗作用, 从理论上来讲,药物作用的靶点越多,对肿瘤的控制就越全面。
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8220;To Teach Diligently”. September 6, 2008. Well, I think I’m going to quit writing on this site. Please go to this site. Http:/ charlie-wallace.blogspot.com. Posted by Charlie Wallace. August 23, 2008. My wife recently ‘tagged’ me through her blog and apparently I have to name 6 quirky things about myself. Here they are:. 1 If I go a full day without a carbonated, non-caffeinated drink, I start to get the shakes. Posted by Charlie Wallace. The Curse of the Snake (Updated). August 18, 2008. All I could...
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