Dynamic monitoring of leukocytes in patients undergoing renal transplantation

Yuanlin CHEN; Yamei TANG; Dongmei YAO

ABSTRACT

BACKGROUND:

Changes of leukocytes are related with some postoperative complications after renal transplantation.

OBJECTIVE:

To observe dynamically the level of white blood cell (WBC) and its morphological changes using automatic blood cell analyzer to evaluate its relationship with infection, immunosuppressive intoxation and acute rejection. DESIGN, TIME AND

SETTING:

Observation and controlled trial was performed at Second Xiangya Hospital, Central South University from June 2004 to October 2005.

PARTICIPANTS:

Sixty-eight patients who received renal transplantation were selected. According to clinical symptoms and laboratory biochemical indexes, X-ray, B ultrasound, and renal puncture biopsy, the patients were divided into stable group (n=36), infection group (n=9), intoxation group (n=6) and acute rejection group (n=13).

METHODS:

The blood routine was tested with Sysmex XE-2100 automatic blood analyzer following renal transplantation and WBC manual differentiation was done to observe peripheral blood morphology, their liver function. In addition, renal and liver functions were detected by automatic biochemical system 7600A. MAIN OUTCOME

MEASURES:

WBC count and its morphological changes in peripheral blood and liver and renal function after renal transplantation.

RESULTS:

WBC count of the stable group and intoxation group was normal, and that of the acute rejection group and infection group were significantly higher than the stable group (P