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为探讨老年患者肾移植的临床疗效,分析自1990年6月至1997年6月期间10例60y以上肾移植受者的临床资料。结果表明:术后发生急性排斥反应2例。发生各种并发症7例。4例死亡,分别死于肺部感染、脑出血、脑梗死和急性坏死性胰腺炎。术后1、3、5a的人/肾存活率分别为90%/90%、80%/80%、60%/60%。认为年龄已不再是老年尿毒症患者选择手术的障碍,老年患者同样可以安全地接受肾移植并获得满意的疗效。并发症所致的患者带肾死亡是移植失败的主要原因。严格选择手术适应证,移植前原发疾病和合并症的积极治疗,免疫抑制剂的合理应用以及术后并发症的积极防治对提高老年肾移植的长期存活率具有重要的意义。
To investigate the clinical efficacy of renal transplantation in elderly patients, the clinical data of 10 patients with 60-year-old renal transplant recipients from June 1990 to June 1997 were analyzed. The results showed that: acute rejection occurred in 2 cases. A variety of complications occurred in 7 cases. 4 died, respectively, died of pulmonary infection, cerebral hemorrhage, cerebral infarction and acute necrotizing pancreatitis. The post-operative 1,3,5a human / kidney survival rates were 90% / 90%, 80% / 80%, 60% / 60%, respectively. That age is no longer an obstacle in the elderly patients with uremia surgery, elderly patients can also safely accept kidney transplantation and obtain satisfactory results. Patients with renal complications caused by death is the main reason for graft failure. Strict selection of indications for surgery, active treatment of primary diseases and complications before transplantation, the rational application of immunosuppressive agents and active prevention and treatment of postoperative complications are of great significance to improve the long-term survival of elderly renal allografts.