CAJ | 학술논문

目的探讨高龄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进行回顾性分析,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;高龄患者耐受力差,常伴随其它疾病,术前准备、术中麻醉及监测、术后并发症的防治、免疫抑制剂毒副作用的监测尤为重要;术后并发症,尤其是肺部感染是高龄患者的主要死亡原因.
목적 탐토고령환자시행신이식술적특점.방법 대31례년령초과50세적신이식환자적자료진행회고성분석,기중년령최대자72세.결과 31례환자,존활25례,사망6례,기중4례우술후근기사망,2례사우폐부감염,1례사우뇌혈관의외,1례사우골수억제,령2례분별우술후18개월、2년사우간암화졸사.술후발생초급성배척1례,급성배척7례차,폐부감염7례,뇨로감염5례.결론 고령병비신이식적절대금기증;고령환자내수력차,상반수기타질병,술전준비、술중마취급감측、술후병발증적방치、면역억제제독부작용적감측우위중요;술후병발증,우기시폐부감염시고령환자적주요사망원인.
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.