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논문 기본 정보

자료유형
학술저널
저자정보
Man Ki Ju (연세대학교) Beom Seok Kim (연세대학교) Hyeon Joo Jeong (연세대학교) Myoung Soo Kim (연세대학교) Soon Il Kim (연세대학교) Yu Seun Kim (연세대학교)
저널정보
대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.75 No.6
발행연도
2008.12
수록면
430 - 433 (4page)

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We present here a case of success kidney transplantation from a deceased donor who showed a serum creatinine level of 5.5 mg/dl. A 52-year-old Asian female with blood type O was determined to be brain death after a compressive craniectomy. Her post-operative course was fatal. She had experienced acute renal failure with oliguria, and these conditions had persisted for 3 days, and the serum creatinine level was elevated up to 5.5 mg/dl. The random urine creatinine, sodium and osmolarity levels were 17.6 mg/dl, 116 mmol/L and 346 mOsmol/L, respectively. However, the ultrasonographic and pathologic findings did not show any chronic structural abnormality in the kidneys. Two female patients with blood type O were transplanted with these donor kidneys. Both recipients experienced 2∼3 days of delayed graft function, but the graft function was fully recovered at 4∼5 day after transplantation. Both recipients were discharged with full-functioning grafts (1.1 and 0.9 mg/dl of serum creatinine, respectively). This shows that a deceased donor with reversible kidney damage, and even one showing a high serum creatinine level, can be acceptable for transplantation if the absence of chronic renal damage is confirmed by pathologic study.

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INTRODUCTION
CASE REPORT
DISCUSSION
REFERENCES

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