Diagnosis and treatment of allograft rejection.

Paediatrician Pub Date : 1981-01-01
C H Uittenbogaart, R N Fine
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Abstract

Several immunologic tests hve been developed to predict allograft rejection prior to functional renal impairment. Unfortunately, no test has as yet proven unequivocally to be of clinical value. Serial serum creatinine determinations and 131I hippuran scintiphotography have proven to be the most useful tests in detecting rejection episodes. Treatment of an acute rejection episode is often successful, but chronic rejection causes a slowly progressive deterioration of allograft function and is unresponsive to treatment.

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同种异体移植排斥反应的诊断和治疗。
一些免疫试验已经发展到预测同种异体移植排斥之前的肾功能损害。不幸的是,目前还没有一项测试明确证明具有临床价值。连续血清肌酐测定和131I河马科学摄影已被证明是检测排斥事件最有用的测试。急性排斥反应的治疗通常是成功的,但慢性排斥反应导致同种异体移植物功能缓慢进行性恶化,对治疗无反应。
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