《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (9): 872-874.

• 论文 • 上一篇    下一篇

肾移植受者术后早期神经系统并发症

康智敏1a,马麟麟1b,李继梅1a,徐忠宝1a   

  1. 1.首都医科大学附属北京友谊医院,a.神经内科;b.泌尿外科,北京市 100050。
  • 收稿日期:2010-06-18 修回日期:1900-01-01 出版日期:2010-09-25 发布日期:2010-09-25

Neurological Complications in Early Post-operation of Renal Transplant Recipients

KANG Zhi-min, MA Lin-lin, LI Ji-mei, et al   

  1. Department of Neurology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
  • Received:2010-06-18 Revised:1900-01-01 Published:2010-09-25 Online:2010-09-25

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被引次数

9

摘要： 目的探讨肾移植术后早期神经系统并发症的类型、发生率及危险因素。方法总结3169例次肾移植受者的术后临床过程,对102例住院期间出现神经系统并发症的临床资料进行回顾性分析。结果神经系统并发症的总发生率3.2%；其中脑病35例（1.1%），癫痫发作24例(0.76%)，急性脑卒中15例（0.47 %），周围神经病变15例（0.47%），头痛12例（0.38%）,中枢神经系统感染1例（0.03%）。结论肾移植术后早期神经系统并发症多样,以脑病及癫痫发作较为常见。推测某些并发症可能与应用免疫抑制剂有一定关系。

关键词: 肾移植, 手术后并发症, 神经系统, 免疫抑制剂, 神经毒性

Abstract: ObjectiveTo investigate the incidence, types and risk factors of neurological complications in the early post-operation of renal transplantation. MethodsThe clinical course of 3169 cases of renal transplantation were reviewed, the clinical data of 102 patients with neurological complications were analyzed retrospectively.ResultsThe total incidence of neurological complications was 3.2%, which including: encephalopathy 35 (1.1%), seizure 24 (0.76%), acute stroke 15 (0.47% ), peripheral nerve disease 15 (0.47%), headache 12 (0.38%), central nervous system infection 1 (0.03%). ConclusionThere were varied of neurological complications of renal transplantation in early post-operation, in which encephalopathy and seizure were more common. Some of the complications may be related to immunosuppressive agents.

Key words: renal transplantation, post-operative complication, neurological, immunosuppressive agents, neurotoxicity