摘要
老年人群终末期肾病发生率增高。接受肾移植者的长期预后与生活质量优于维持透析者。由于其生理、免疫特点,老年患者肾移植术后感染、糖尿病等并发症较多,风险较大,导致其接受肾移植的比例较低。文章从老年肾移植的预后影响因素、供体选择、危险因素预防与术后监测等方面阐述老年肾移植的治疗策略,以期提高认识,改善老年终末期肾病患者的长期预后与生活质量。
The incidence of end-stage renal disease（ ESRD） increases in the elderly population. Patients received kidney transplantation had better long-term survival and quality of life than those received maintaining dialysis. However,only a smaller proportion of elderly patients received kidney transplantation because of the concerns about high post-transplant complications such as infections,diabetes,etc. In this review,we make a discussion on treatment strategies including prophylaxis of risk factors,donor selection and postoperative monitoring in order to raise awareness and improve long-term prognosis in elder patients with end-stage renal disease.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2014年第12期1163-1166,共4页
Chinese Journal of Practical Internal Medicine
关键词
终末期肾病
肾移植
老年
end-stage renal disease
kidney transplantation
elderly
