The clinical and laboratory data of 159
DCD donors obtained by our center in 2018 were retrospectively analyzed. The
DIC diagnosis was performed according to the Chinese
DIC scoring system (CDSS). The donors were divided into two groups:
DIC (+) and
DIC (-). The difference between kidney rejection rate and zero
puncture glomerular microthrombus formation rate were compared.
RESULTS: Among the 159
DCD donors, 11 were discarded (accounting for 6.91%). The reasons for the discarded cases included 5 cases (3.14%) for moderate and severe glomerular microthrombus formation in the renal zero
puncture pathology; 2 cases (1.26%) for glomerular
sclerosis ratio over 50%; 2 cases (1.26%) for long-term
low blood pressure before pregnancy and significantly increased serum
creatinine level and no urine; 1 case (0.73%) for
kidney stones and stagnant water; 1 case (0.63%) for malignant
tumor. The donor rejection rate of the
DIC (+) group was higher than that of the
DIC (-) group, and the difference was statistically significant (P<0.05). Among all donors, 10 cases (6.29%) were found to have glomerular microthrombus at zero
puncture, and the microthrombotic rate in the
DIC (+) group was significantly higher than that in the
DIC (-) group (P<0.05). Of the 10 microthrombotic donors, 5 donors with severe glomerular microthrombus were discarded.
CONCLUSIONS: