Objective: To investigate perioperative treatment method and the early clinical effect of kidney transplantation from cardiopulmonary resuscitation of DCD.

Methods: A retrospective review of clinical data of 34 donors and 59 recipients kidney transplantation from cardiopulmonary resuscitation of DCD performed from December 2011 to November 2015 in kidney transplantation department of the first affiliated hospital of Xi’an Jiaotong university.Analysis of cardiopulmonary resuscitation (CPR) impact on the prognosis of DCD renal transplant recipients.

Results: Under following the DCD organ donation standard and the supervision and appraisal by our hospital ethics committee，various surgical operations were implemented in the study. Perioperative treatment and nursing measures followed the international and domestic standards , combining our center clinical experience of many years. Related statistical data of donors and recipients will be Introduced in the text.

Conclusions: 1.DCD from cardiopulmonary resuscitation donation is an effective supplement to kidney source shortage. 2.Our center adheres to the following principles: If the time of CPR was less than 10 minutes and renal function was normal, we will implement organ donation directly; If the time of CPR was 10-30 minutes, we will assess blood pressure, kidney function and urine volume comprehensively and discuss the risk of operation; If the time of CPR was more than 30 minutes, we will suggest to give up donating. 3.In addition,, repair and maintenance of the donors of the primary diseases and organs function are very important. Especially, it is necessary to pay attention to potential infectious donors, observe the change of the urine and kidney function dynamically and application of hormone, heparin and urokinase before organ procurement. Application of lifepot, anti-infection and postoperative follow-up are all keys to assure outcomes of kidney transplantation.