重返透析移植肾失功受者的临床管理  

Patients with failing kidney allografts returning to dialysis

作　　者：张淑宇 李月红[1] ZHANG Shuyu;LI Yuehong(Department of Nephrology,Beijing Tsinghua Changgung Hospital,Medical Center,Tsinghua University,Beijing 102218,China)

机构地区：[1]清华大学附属北京清华长庚医院肾内科,清华大学临床医学院,北京102218

出　　处：《肾脏病与透析肾移植杂志》2023年第5期487-491,共5页Chinese Journal of Nephrology,Dialysis & Transplantation

基　　金：首都卫生发展科研专项基金(首发2022-3-2243);清华大学精准医学基金(2022TS007)。

摘　　要：移植肾失功受者临床治疗的主要难点包括慢性肾脏病并发症管理、透析开始的最佳时机和方式、免疫抑制剂调整、移植肾切除指征及风险等,需要移植科和肾科医师共同诊治,使肾移植失功受者长期获益。本文拟探讨对移植肾失功受者的临床管理。The main difficulties for treatment of patients with failing kidney allografts include chronic kidney disease complication management,timing of initiation and modality of dialysis,management of immunosuppression,allograft nephrectomy.Patients with failing allograft need to be treated jointly by transplantation surgeons and nephrologists,which is conducive to the long-term benefits.This review summarized clinical management points of patients with failing kidney allografts.

关 键 词：移植肾失功 合并症 免疫抑制 移植肾切除 

分 类 号：R699.2[医药卫生—泌尿科学]