高龄尿毒症患者的尸体肾移植

目的 探讨高患者施行肾移植术的特点。方法 对３１例年龄超过５０岁的肾移植患者的资料回顾性分析，其中年龄最大者７２岁，结果 ３１例患者，存活２５例，死亡６例，其中４例于术后近期死亡，２例死于肺部感染，１例死于脑血管意外，１例死于骨髓抑制，另２例分别于术后１８个月，２年死于肝癌和猝死。术后发生超急性排斥１例，急性排斥７例次，肺部感染７例，尿路感染５例。结论 高龄并非肾移 植的绝对禁忌证；高龄患者耐受力

Cadaver kidney transplantation for advanced age CRF patients

Objective To investigate the kidney transplantation for 31 advance age patients. Methods From May 1992 to Dec. 1997, 31 patients over 50 years old received the cadaver kidney transplantation, and the data were retrospectively analyzed. Results The survival rate of person/kidney one year after transplantation was 87.1 %/ 81.2% , respectively. The common complications of advanced age patients after kidney transplantation included lung infection, cerebrovascular accident and myocardial infarction, etc.. Conclusion Advance age was not the absolute contraindication for kidney transplantation. It is particular important to conduct preoperative preparation, perioperative anesthesia and monitoring, the prevention and treatment of the postoperative complications, and the monitoring of the toxic and side effects of immunosuppressive agent, etc.. The postoperative complications, especially lung infection, are the main dead factors for advanced age CRF patients receiving kidney transplantation.