肾脏的保护

肾脏是一个重要的泌尿器官，有排泄调节水盐平衡的作用。肾脏的基本功能单位为肾单位(肾小球)，健康成年人双侧肾约有200个万个肾小球，进入30岁以后，每个肾小球的功能可有相应降低。由于肾脏随年龄的增长而逐年衰老和退化，其储备功能也日益下降，在患病时不能适应机体的需要，致使人体代谢的废物、有毒物质等不能及时排出，可出现肾功能衰竭，诱发尿毒症而危及生命。因此，保护好肾脏是身心健康的重要环节之一。     

肾脏的保护

肾脏是一个重要的泌尿器官，有排泄调节水盐平衡的作用。肾脏的基本功能单位为肾单位（肾小球），健康成年人双侧肾约有200万个肾小球，进入30岁以后。每个肾小球的功能可有相应降低。由于肾脏随年龄增长而逐年衰老和退化，储备功能也日益下降，在患病时不能适应机体的需要，致使人体代谢的废物、有毒物质等不能及时排出，可出现肾功能衰竭。诱发尿毒症而危及生命。因此，保护好肾脏是身心健康的重要环节之一。     

尿微量蛋白测定在肾脏疾病诊断中的应用价值

肾脏的主要功能是维持体内水、盐和pH值的渗透平衡,肾脏的主要功能单位是肾单位,肾单位是由肾小球和相联系的肾小管构成。当肾单位、肾小球或肾小管受损时,就会允许异常数量的蛋白通过损害部位进入尿液,测定尿液中的这些微量蛋白有助于确定肾脏损害的部位和范围。我们对136例不同原因引     

控制血压 保护肾脏

肾脏是调节水与电解质平衡的重要脏器，并具有多种内分泌功能，与高血压的关系十分密切。1826年，Bright提出高血压与肾脏有联系，体内的多种内分泌激素、血管活性物质和交感神经系统均可直接调节肾脏对水和钠盐的排出．或通过调节肾内血流动力学而间接影响钠盐的平衡。高血压和肾脏疾病互为因果，一方面，长期高血压可引起肾损害，另一方面，绝大多数慢性肾脏病患者均伴有不同程度的高血压。     

肝硬化与肾脏

<正>肝肾在血液动力学和免疫机制方面有密切联系,因而肝硬化时可继发多种肾脏病变,如肾脏形态改变,肾小球滤过率和利尿功能受损.肾血浆流量降低,水钠潴留及低钠血症,肾酸化功能降低,失钾或高钾,低钾性肾病及肝肾综合征等.     

肾脏疾患的超声诊断报告

肾脏疾患的常规诊断手段主要是靠病史,体征,尿检,肾逆行及分泌性造影和肾周围充气术,肤主动脉造影术等项检查。自从50年代未超声波在国内作为一项检查手段参加于临床诊断工作以来,在肾脏疾患的诊断作用上也逐步扩大和显示出某些优点。对肾脏的大小,位置及肾内部结核病变的物理性质的诊断上具有方法简便、迅速、无痛、不需造影剂等优点。在无功能肾的诊断上具     

尿微量蛋白测定在肾脏疾病诊断中的应用价值

肾脏的主要功能是维持体内水、盐和pH值的渗透平衡，肾脏的主要功能单位是肾单位，肾单位是由肾小球和相联系的肾小管构成。当肾单位、肾小球或肾小管受损时，就会允许异常数量的蛋白通过损害部位进入尿液，测定尿液中的这些微量蛋白有助于确定肾脏损害的部位和范围。我们对136例不同原因引起肾功能障碍的患者的尿液进行仅，微球蛋白（AIM）、微量白蛋白（MAIB）、转铁蛋白（TRF）、免疫球蛋白G（IgG）检测，以了解其在临床诊断肾脏疾病方面的价值。     

保护肾脏延年益寿

肾脏是人体重要的排泄器官,肾脏的功能如何,对健康长寿有着重要的影响。 中医学认为,肾为先天之本,肾主水,肾主骨、生髓,藏真气、元气、精气,肾主司二阴,开窍于耳,其华在发等。现代医学所指的肾脏是一个重要的实质性脏器,是泌尿器官,有排泄、调节水钠和酸碱平衡的作用。肾脏的基本功能单位为肾单位,健康成     

肾动脉狭窄致肾萎缩自体移植后肾脏的转归

肾脏动脉狭窄是引起肾性高血压最常见的原因,若狭窄时间过长会引起肾脏萎缩.行自体肾移植是否还可以挽救肾脏功能,这方面的研究很少.本文通过我院肾移植中心实施的1例萎缩肾自体肾移植术,探讨移植肾术后体积和肾功能的变化,现报告如下.     

CT测量肾脏相关横径与肾脏功能的相关性研究

目的 研究肾脏相关横径(肾脏最大横截面及肾窦最大横截面)的电子计算机X射线断层扫描(CT)比值,探讨其与肾脏功能的相关性。方法 采用CT平扫,对肾脏及肾窦最大横径进行测量,采用线性相关进行分析,明确相关比值的数值。结果 肾脏的相关横径比值与肾脏功能之间存在线性关系,且呈正相关,肾脏相关横径比值越大,肾脏功能越好,反之亦然。逆行估计横径比值的临界值为3.41,当比值小于3.41时,肾脏即将或已经出现功能损害,表现为患侧GFR下降并可能低于正常值。结论 测量肾脏相关横径,明确其比值与肾脏功能之间关系,从而有效指导临床应用,避免肾功能进一步损害。     

保留原位肾的多囊肾患者肾移植研究

目的 研究多囊肾患者保留原位肾的肾移植效果.方法 回顾性分析12例多囊肾患者保留原位肾直接进行肾移植术的效果.结果 除1例术后因并发症切除1侧原位肾以外,其余11例均保留原位肾,术后移植肾功能良好.结论 多囊肾患者保留原位肾直接进行肾移植效果满意.     

内肾外肾论

提出内肾外肾学说。内肾主水,相当于西医解剖学中的泌尿系统;外肾主精,相当于西医解剖学中下丘脑-垂体-性腺轴系统和解剖学的外生殖器官;内肾、外肾合而为中医肾,相当于泌尿系统、生殖系统、下丘脑-垂体-腺轴(甲状腺、胸腺、肾上腺、性腺)系统及神经内分泌免疫网络系统。内、外肾在解剖上相互联系,生理上密切相关,病理上相互关联,治疗上互相影响。内肾、外肾是中医肾的物质及功能基石,肾阴、肾阳是中医肾的物质及功能的运用和体现。      

Kidney

Effects of immunosuppressants on CD^＋ CD25^＋ regulatory T cells in human renal transplant recipients; Effect of low-dose FK778 on the progression of chronic renal allograft rejection in a rat model; The use of tacrolimus in simultaneous pancreas-kidney transplantation： a single-centre experience in China     

Kidney

Conversion from cyclosporine to tacrolimus for the treatment of chronic allograft nephropathy , Clinical diagnosis and treatment of BK virus infection in renal transplant recipients , Clinical study on avascular necrosis of the femoral head in 24 renal transplantation patients , Clinical and histopathological analysis in living donor kidney transplantation recipients, Evaluation of the early-stage safety of livingrelated kidney transplant donors , Living-related donor kidney transplantation101 cases reports     

Kidney

Safety analysis of live relative liver donors in kidney trasplantation; Analysis on spouse donor renal transplantation; Use of cystatin C in the evaluation of posttransplant renal allograft function.     

Kidney

Rapamune and tacrolimus improve renal function significantly in chronic allograft nephropathy,Invasive pulmonary aspergillosis in renal transplantation recipients,Use creatinine reduction ratio to predict the graft funciton recovery after kidney transplantation,Functional protection and long-term survival of renal allograft by the combination of ACE inhibitor and angiotensin receptor blocker,     

Kidney

<正>209098 Effects of silencing TGF-β1 by RNA interference plasmid on extracellular matrix synthesis of rat renal allograft/Xia Yuguo(夏雨果,Dept Urol,1st Affil Hosp,Chongqing Med Univ,Chongqing 400016)…∥Chin J Organ Transplant. -2009,30(10). -585～588 Objective To investigate the effects of shRNA-TGF-β1 plasmid on extracellular matrix synthesis of rat renal allograft.     

Kidney

The clinical feasibility study on kidney transplantation for uremia patients without prior dialysis,Relationship between MDR1 exon 26 genotype and dosage of FKS06 and acute rejection following renal transplantation,Clinical application of mizoribine in minimizing virus infection risk in renal graft recipients, Prospectively study of pravastatin in the treatmerit of dyslipidemia after renal transplantation, Gene expression profile in acute rejected transplant kidneys detected by microarray[第一段]     

Kidney

<正>209606 Immunologic and pathologic features of an accelerated rejection model of renal allotransplantation in rhesus monkeys/Chen Song(陈松,Inst Organ Transplant,Tongji Hosp,Tongji Med Col,Huazhong Univ Sci Technol,Wuhan430030)…∥Chin J Orgn Transpbnt.-2009,30(9). -515 ～518     

Kidney

<正>209467 Diagnosis and treatment of multifocal urothelial carcinomas of kidney recipients following renal transplantation/Wu Jianhui(吴建辉,Dept Urol,Tianjin 1st Central Hosp,Tianjin 300192)…∥Chin J Organ Transplant.-2009,30(6).-331～333Objective To analyze the etiology,clinical diagnosis and outcomes of 6 cases of multifocal urothelial carcinomas following transplantation.Methods A retrospective analysis was performed on 6 cases of multifocal urothelial carcinomas following renal transplantation in our center.Results Six patients were diagnosed as having multifocal urotheial carcinomas,including 1 case of related renal transplantation.Five cases were diagnosed by painless gross hematuria 2~48 months after renal transplantation,and 1 patients was diagnosed as having bladder tumors by B-ultrasound.All lesions happened un-simultaneously,from 1.5~16 months,and each case accepted operation 2~5 times.One case accepted radical cystectomy and cutaneous ureterostomy of the graft,and one accepted radical cystectomy,cutaneous ureterostomy of the graft and urethectomy.All of 6 cases received OKT3 or Daclizumab as the induced-immunosuppressive therapy and tacrolimus or cyclosporine A+mycofenolate mofetil+steroid as the maintenance therapy.Intravesical chemotherapy started in all patients immediately after the surgery.All operations were successful and most patients got satisfactory results.Conclusion Kidney recipients have a higher rate of transitional cell carcinomas which are characterized by easy metastasis,and mostly have unsatisfactory prognosis.Kidney recipitents with hematuria should be examined carefully with cystoscopy,retrograde pyelography and cystourethroscopy.A routine examination at regular intervals after transplantation is very important.9 refs.