老年肾移植受者的临床特点与管理分析  

The Clinical Characteristics and Management of Elderly Renal Transplant Recipients

作　　者：杨帅平[1] 雷龙涛[1] 王长安[1] 韩健乐 杨青彦[1] 杨俊伟[1] 王晓勃[1] 

机构地区：[1]郑州市第七人民医院,河南郑州450016

出　　处：《中国卫生产业》2015年第27期168-170,共3页China Health Industry

摘　　要：目的探讨老年肾移植受者的临床特点及其管理方法。方法选择该院自2006年5月—2014年6月收治的21例接受肾移植的患者的临床资料,全部患者均给予肾移植手术治疗,术前均给予常规检查,取尸体肾,术后给予对症处理。结果全部患者均合并各类系统疾病,其中消化系统疾病5例,心血管疾病8例,呼吸系统6例,泌尿系统疾病2例,术后,合并心血管系统疾病患者发生并发症3例,发生房颤、阵发性室上性心动过速,死亡2例,死亡原因为心衰;合并消化系统系统疾病发生并发症1例,为肝硬化患者发生进展至肝功能衰竭,最终死亡;合并呼吸系统疾病1例,其中支气管炎患者进展至重症肺炎死亡,陈旧性肺结核未见复发;合并泌尿系统疾病1例,为前列腺增生患者行肾移植术后,发生尿路梗阻,经尿道前列腺电切术后解除梗阻,合并泌尿系统疾病患者未见死亡病例,术后,发生AR4例,AR发生率19.0%,其中1例患者先后发生2次AR,3例患者经抗排斥治疗后逆转;术后6例患者发生感染,占比28.6%。全部患者住院时间18~40 d,平均住院时间（27.8±10.4）d。结论肾脏移植是老年终末期肾疾病患者有效的治疗方法,尽管目前仍存在较高的并发症,在治疗过程中,加强术前、术中及术后管理,谨慎选择治疗方案,提高患者及移植物的存活时间。Objective To study the clinical characteristics and management of elderly renal transplant recipients. Methods the clinical data of 21 patients who received renal transplantation from June 2014 to May 2006 were selected. All patients were treated with renal transplantation, and all patients were given routine examination before operation. Results 6 patients with cardiovascular disease, 8 patients with cardiovascular disease, respiratory system disease, 2 cases of urinary system disease, 3 cases of patients with cardiovascular disease, complications, 5 patients with atrial fibrillation, paroxysmal ventricular tachycardia, cases of atrial fibrillation, paroxysmal tachycardia, cases of atrial fibrillation, paroxysmal ventricular tachycardia, 2 cases of atrial fibrillation, cardiac arrhythmia, cases of heart failure; complication： 1 cases of patients with heart failure; complication： Cases of patients with heart failure; complication： Cases of patients with heart failure; complication：Cases of patients with heart failure; complication： Cases of patients with liver failure; complication： Cases of patients with liver failure; complication： Cases of patients with liver failure; complication： Cases of patients with liver failure; cirrhosis;liver failure; 1 case; cirrhosis; liver function; mortality; respiratory system; there was no death case, AR4 case occurred after operation. the incidence of AR was 19%, and 1 patients had AR, 3 patients were reversed after anti rejection treatment; 6patients had infection, accounting for 28.6%. The average length of hospital stay was 18 ~40d, and the average length of hospital stay was（27.8±10.4） d. Conclusion Kidney transplantation is effective treatment for elderly patients with end-stage renal disease, although there are still a high complication, in the treatment process, strengthen the operation and management, and choose the treatment plan, improve the survival time of patients and graft.

关 键 词：老年患者 肾移植术 临床特点 管理分析 

分 类 号：R7[医药卫生—临床医学]