对我国儿童肾移植发展的思考与建议

The Exploration and Recommendation of the Development of Kidney Transplantation in Children

肾移植是儿童终末期肾衰最重要的替代治疗手段。国内数家大的移植中心儿童肾移植长期存活率已接近国外先进水平,但我国肾移植患儿总数较少,主要原因是经费不足和供体缺乏。为推动儿童肾移植的发展,建议建立国家医疗救助制度,鼓励亲属活体肾脏捐献,严格掌握适应证,合理使用免疫抑制剂,加强多中心协作,建立移植随访网络。

The kidney transplantation is the most important replace therapy for the end stage renal failure in children. The long-term graft survival in our some major transplant center has approximated to those in other advanced country. However, the sum total of the pediatric allograft recipients is still very small because of deficiency or absence of the money and donor. To advance the pediatric renal transplantation, it is recommended to set up a national medical aid system as early as possible, to encourage living kidney donation between relatives, to strictly selection of cases according to the indication, to rational use immunosuppressive agents, to strengthen co- operation of multiple transplant centre and establish the transplant recipients follow- up network.