同種腎移植の臨床経験

概要

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Details of two clinical cases of renal homotransplantation performed at the Department of Urology, Osaka University Hospital were reported in this paper. The donors were selected from the patients who were under the care of Urological Service of the Hospital. The donor's kidneys which were hematochyluria and essential hematuria, respectively, were functionally quite normal. The first case, 34-year-old male, died on the 10th day after kidney homotransplantation with sever bacterial infection of the respiratory tract and the second case, 30-year-old male died on the 30th day after operation with mycosis of the respiratory and the urinary tract. Urine output from the transplanted kidneys were very well in both cases. BUN fall and the correction of acidosis were not observed in the first case. The renal function of the second case was extremely well for three weeks after the operation. Prolonged thoracic duct lymph drainage was applied for these two cases as one of immunosuppressive procedures. The problems about clinical, technical and immunosuppressive methods were reviewed and discussed.
社団法人日本泌尿器科学会の論文