节点文献

老年患者肾移植的临床经验

Clinic experience of kidney transplantation in aged patients

  • 推荐 CAJ下载
  • PDF下载
  • 不支持迅雷等下载工具,请取消加速工具后下载。

【作者】 傅耀文周洪澜王伟刚谷新权

【Author】 FU Yao-wen, ZHOU Hong-lan, WANG Wei-gang, et al . (Department of Urology, China-Japan Union Hospital of Jilin University, Research Center of Kidney Transplantation and Blood Purification in Jilin Province, Jilin Changchun 130031)

【机构】 吉林大学中日联谊医院泌尿外科吉林大学中日联谊医院泌尿外科 吉林长春130033吉林长春130033吉林长春130033

【摘要】 目的 探讨高龄患者肾移植手术的适应证、免疫抑制剂的应用和对急性排斥的免疫监测及其他并发症的防治。方法 对 64例 60~71岁尿毒症患者进行尸体肾移植手术 ,术后进行移植肾脏功能、T细胞亚群、ICAM 1等指标监测。结果  1年人 /肾存活率为 92 .6 % / 83 .9% ,3年为 85 .2 % / 74.1 % ,5年为 82 .4% / 72 .2 %。急性排斥发生率为 2 7%。结论 合理应用免疫抑制剂及监测和治疗急性排斥反应 ,降低术后并发症是提高老年患者肾移植存活率的重要因素

【Abstract】 Objective To study the application indications of operation, the applications of immunosuppressants, the monitoring effect of T-cell subgroups, ICAM-1 for acute rejections and the prevention and therapy of postoperative complications of the renal transplantation in aged patients. Methods Sixty-four patients (60~71 years old) with uremia received cadaveric renal transplantation in our hospital.Results The survival rate of patient/kidney was 92.6%/83.9% for one year, 85.2%/74.1% for three years and 82.4%/72.2% for five years. The acute rejections occurred in 27 of patients.Conclusions The important factors to increase the survival rate of renal transplantation in old patients with uremia include the proper application of immunosuppressants, monitoring and therapy of acute rejection and prevention of postoperative complications.

【关键词】 肾移植老年人急性排斥并发症
【Key words】 Kidney transplantationAgedAcute rejectionComplication
  • 【文献出处】 中国老年学杂志 ,Chinese Journal of Gerontology , 编辑部邮箱 ,2004年10期
  • 【分类号】R699.2
  • 【被引频次】1
  • 【下载频次】31
节点文献中: 

本文链接的文献网络图示:

本文的引文网络