同种肾移植手术过程中,对移植肾的保护是十分重要的,它与移植肾术后能否保持良好的功能有很大关系。在吻合血管时,必须尽量防止用手直接接触肾脏,使移植肾在开放血流前,始终处于冷缺血状态;同时,在手术操作时,必须尽量避免用力挤压和反复翻动肾脏,以免产生人为地损伤,引起术后某些并发症,影响移植肾的存活。 开始的几例肾移植手术,我们是用一块纱布包裹肾脏,然后往上淋冰水降温。可是,我们发现为不使其下滑,必须用手抓住肾脏,不仅降温效果不好,还造成手术野的狭 The same type of kidney transplant surgery, the protection of the renal graft is very important, it is able to maintain good function after transplantation has a great relationship. In the anastomosis of blood vessels, we must try to prevent the direct contact with the hands of the kidney, so that the graft in the open blood flow, and always in a cold ischemia; the same time, surgical procedures, we must try to avoid forced squeeze and repeatedly flip the kidney, so as to avoid Man-made damage, causing some complications after surgery, affecting graft survival. In the first few cases of kidney transplants, we wrapped the kidneys with a piece of gauze and then we poured ice water to cool down. However, we found that in order not to glide, we must hold the kidneys by hand, not only cooling effect is not good, but also caused the surgical field narrow