广东省佛山市2007年度透析移植登记报告

目的：了解佛山地区各医院的透析移植治疗现状。方法：本地区所有开展透析的单位共18家医院参加了登记工作，填写《佛山市医学会肾脏病分会透析移植登记表》，登记时间为2007年1月1日至12月31日，进行资料汇总和统计分析。结果：18家医院均开展了血透，同时开展血透和腹透6家（33.3%），单纯开展血透12家（66.7%），并无1家只开展腹透。全市共有血透机155台，CRRT机6台，透析器复用机15台。透析器复用方式中，采用复用机、人工冲洗复用和未复用分别占61.1%、33.3%和5.6%。全年共有透析患者1718例，血透、腹透各占93.6%、6.4%。2007年新进入透析治疗的患者866例，新进入血透、腹透患者各占91.7%、8.3%。至2007年12月31日尚有透析患者1011例，血透、腹透患者各占90.6%、9.4%。血透患者的原发病因中，原发性肾小球肾炎、糖尿病肾病、动脉硬化性肾病和梗阻性肾病分别占52.4%、18.9%、10.8%和6.4%。腹透患者的原发病因中，原发性肾小球肾炎、糖尿病肾病、梗阻性肾病和动脉硬化性肾病分别占47.3%、28%、9.7%和3.2%。全年743例血透患者退出治疗，其中死亡、好转或痊愈、改腹透、肾移植、转院透析、经济原因停透、失访等分别占20.3%、20.1%、7.2%、4.1%、21.5%、20.2%和6.6%；死亡原因中，脑血管疾病、心血管疾病、感染、营养不良、因透析剂量不足死于尿毒症综合因素、其他等分别占16.6%、28%、17.2%、3.2%、18.4%、16.6%。全年16例腹透患者退出治疗，其中死亡、好转或痊愈、改血透、失访等分别占68.7%、18.7%、6.3%和6.3%；死亡原因中，脑血管疾病、心血管疾病、感染、其它等分别占21.4%、7.1%、28.6%和42.9%。结论：目前佛山地区开展透析治疗的医院已达18家，本地区同时开展了血透和腹透。不管是血透患者还是腹透患者中，原发性肾小球肾炎、糖尿病肾病、动脉硬化性肾病、梗阻性肾病是原发病因中前4位原因。心脑血管疾病和感染为死亡的主要原因。

The report about the registration of dialysis and transplantation in Foshan City Guangdong Province 2007

AIM: To report the dialysis registration in Foshan City Guangdong Province 2007. METHODS: The dialysis registrations were performed in 18 hospitals. The registration time was form 2007.1.1 to 2007.12.31. RESULTS: There were 155 hemodialysis (HD) machines in 18 hospitals providing HD treatment, and 6 of above 18 hospitals offered peritoneal dialysis (PD) as well. Dialysers were reused by automatic wash methods in 61.1% HD units. There were 1608 HD cases in 2007 including 794 new cases within 2007. Until 2007.12.31, 916 patients survived. There were 110 PD cases in 2007 including 72 new cases within 2007. Until 2007.12.31, 95 PD patients survived. Glomerulonephritis (52.1%) was still the first primary disease of dialysis, then diabetic nephropathy (19.5%), third arteriosclerosis nephropathy (10.3%), fourth obstructing nephropathy (6.6%). 151 HD patients and 11 PD patients were dead. Total 162 cases died accounting for 9.4%. Cardiac disease and cerebrovascular disorder were main causes of death. Infection and other factor were common causes. CONCLUSION: Glomerulonephritis, diabetic nephropathy, arteriosclerosis nephropathy and obstructing nephropathy were the first four primary disease of dialysis. Cardiac disease, cerebrovascular disorder and infection were main causes of death.