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일반연제 발표 : 루프스 신염에 의한 말기 신부전증 환자에서 신대체 요법 유형에 따른 질병 활성도 및 누적 생존율의 비교
구영석 ( Gu Yeong Seog ),박형천 ( Park Hyeong Cheon ),박용범 ( Park Yong Beom ),강신욱 ( Kang Sin Ug ),최규헌 ( Choe Gyu Heon ),김순일 ( Kim Sun Il ),김유선 ( Kim Yu Seon ),박기일 ( Park Gi Il ),이수곤 ( Lee Su Gon ),이호영 ( Lee 대한신장학회 2002 춘계학술대회 초록집 Vol.21 No.1
동종 신장이식후 Erythropoietin (EPO) 및 혈색소의 변화 양상
이호영 ( Lee Ho Yeong ),김기용 ( Kim Gi Yong ),유효민 ( Yu Hyo Min ),박찬신 ( Park Chan Sin ),박기호 ( Park Gi Ho ),김홍수 ( Kim Hong Su ),한대석 ( Han Dae Seog ),김유선 ( Kim Yu Seon ),박기일 ( Park Gi Il ) 대한내과학회 1993 대한내과학회지 Vol.44 No.6
Background : In chronic renal failure, anemia develops due to uremic inhibitor, hemolysis and blood loss but mainly due to relative deficiency of Erythropoietin (EPO) compared to the level of anemia. Many studies about the changes of EPO after renal allograft have been done on the cadaveric-donor kidney recipient by other investigators but few studies were reported on living-donor renal allograft so far. We studied the changes of EPO and hemoglobin after living-donor kidney allograft with less ischemic time than cadaveric-donor renal allograft. Method : We studied prospectively the serial changes of BUN, serum creatinine, hemoglobin, hematocrit, reticulocyte count, serum EPO level, serum iron and TIBC with regular intervals from preop. 7th day to postop. 28th day on the 18 patients who had done living-donor renal allograft at Severance hospital from 18th Dec., 1991 to 20th Mar., 1992. Result : 1) As renal function became to normal after renal allogrft, serum EPO concentration increased significantly from 12.3±20.6 U/L on the preop. 1st day to 24.2±20.6 U/L on the postop 1st day and 25.2±16.6 U/L on the postop. 3rd day (p<0.05). 2) The peak serum EPO concentration was noted between postop. 1st day and 3rd day, and thereafter serum EPO concentration decreased slightly but maintained to be higher than preop. level significantly (p<0.05). 3) Reticulocyte count increased significantly from preop. 0.05±0.3% to postop. 5th day, 1.7±1.1% (p<0.05) which was 4 days later than the peak of EPO. 4) Platelet, serum iron, TIBC, and serum ferritin levels were not changed after renal transplantation. Conclusion : Although serum EPO concentration did not show the late peak which was usually reported in cadaveric-donor renal transplantation, we noted th serum EPO level maintained to be significantly high level with early peak after living-donor renal transplantation. But reticulocyte count increased significantly 4 days later than the peak of serum EPO level suggesting that the intial peak of EPO level came from renal ischemia during renal transplantation and the persisting high but slightly downed EPO level was from well-functioning renal allograft.