摘要 为了更好地提高移植肾切除的效果，报告1986～1996年失功移植肾切除64例，切除率为21.6%，术后并发症发生率18.8%，死亡率9.4%。结论：移植肾切除术较单纯肾切除复杂、危险，应严格掌握中后期失功移植肾切除指征，术前应充分透析，积极的支持疗法，改善全身状况，调整免疫抑制剂，采取合理的切肾技术，术后应密切观察各项生命体征的变化。

    Kidney transplant nephrectomy: indication andperioperative management Yang Shunliang,Hong Jiaping, Ou Liangming, et al. Department of Urology, Fuzhou General Hospital, NanjingCommand, PLA, Fuzhou 350001

    Abstract Kidney transplant nephrectomy has been carried out for 64 patients,the nephrectomy rate of non-function transplants being 21.6%. Postoperative complicationsoccurred in 18.8% and 6 of the patients died of heart failure, respiratory infection orpeptic hemorrhage. Renal allograft nephrectomy was considered as a high risk operation andthe indication should be limited to uncontrolled infection, severe hematuria, persistantfever, apparently enlarged and painful allograft or refractory hypertension. Theperioperative management included sufficient preoperative hemodialysis, adjustment of immunosupressives, adoption of appropriate surgical technique and close monitoring ofvital signs.

     ......