腎臟移植的介紹 - WordPress.com

腎臟移植的介紹 - WordPress.com

-Taiwan Organ Registry and Sharing Taiwan Organ Registry and Sharing Center-Taiwan Organ Registry and Sharing 91 94

Level 0.5

2 HLA 0BDR mismatch

1BDR mismatch 2BDR mismatch 7 5 2

11 11-18 18 4

3 0

4 B HBsAg(+) -1

C AntiHCV(+) -1

1 2 HLA (HLA Mismatch Definitions)

Flank position Four 5mm trochars

Transverse incision (4-Taiwan Organ Registry and Sharing 5 cm) at the pubic hairline R C W W .

Wound Infection Lymphocele Bleeding Graft Thrombosis Renal Artery Stenosis Urine Leak Ureteral Obstruction

GI complications Recovery Room Hemodynamic Evaluation Intranvenous Fluid Replacement

Urine OutputAnuric and Oliguric Patients Polyuric Patients Early Postoperative bleeding Postoperative Hemodialysis

Acute Tubular Necrosis Intravascular volume contraction Arterial Occlusion Venous Thrombosis Ureteric Obstruction Catheter Obstruction Urine Leak

Hyperacute rejection Nephrotoxicity Hemolytic-Taiwan Organ Registry and Sharing uremic syndrome Infection Infection Recognition Temporal occurrence of infectious

episode Infectious history of the donor Preoperative recipient infection history or exposures Community and Hospital acquired organism Net state of immune

suppressionProphylactic immunosuppressive protocol Neutropenia Origin of Infection

CNI: (Tarcolimus) -Taiwan Organ Registry and Sharing -Taiwan Organ Registry and Sharing -Taiwan Organ Registry and Sharing -Taiwan Organ Registry and Sharing FK506 (Sandimmune)-Taiwan Organ Registry and Sharing -Taiwan Organ Registry and Sharing -Taiwan Organ Registry and Sharing -Taiwan Organ Registry and Sharing Cyclosporin Myoftic/MMF: Steroid:

Cyclosporin C0 200 to 300 ng/mL

50 to 150 ng/mL. Tarcolimus cyclosporin

Simulect(basiliximab) Chimeric (murine/ human) monoclonal antibody (IgG1k)

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