【摘要】 目的 探讨肝移植术后肾功能衰竭形成原因、预防以及治疗。方法 40例临床肝移植病历资料进行回顾性分析，采用单因素分析和Stepwise logistic回归分析。结果 术前合并肾功能不全者早期病死率为66.7%，而正常组为24.3%。在生存组和死亡组中术前血肌酐值分别为82.15±10.8和132.83±33.22，有统计学差异，U=2.766，P<0.01。经Stepwise logistic回归分析，血肌酐值与早期病死率明显相关，r=0.2056，P<0.05。结论 血肌酐是肝移植术后早期病死率的一个风险因素，积极保护和预防肾功能衰竭，能够降低早期病死率，提高肝移植生存率。

    关键词 肝移植 肾功能 病死率

    The prevention and treatment of renal dysfunction after liver transplantation

    Qian Yeben，Chen Guihua，Huang Jiefu

    Dept.of Hepatobiliary，the First Affiliated Hospital，AnHui Medical University Anhui230022.

    【Abstract】 Objective To explore the etiology，prevention and treatment of renal dysfunction after liver transˉplanptation.Methods 40patients with liver transplantation were analysed retrospectively and divided into two groups.The renal dysfunction group(RDF)and normal renal function group(NRF).The relationship between renal dysfunetion and early mortality was studied by univariate analysis and stepwise logistical regression analysis.Results The early mortality in ......