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目的探讨高龄患者肾移植的治疗问题。方法对9例50岁以上的高龄患者施行尸体肾移植。结果除1例术后早期死于DIC和心衰外,其余8例随访0.5~6年(其中7例已存活>1.5年),人/肾均存活。结论术前有效地处理原有疾病、合理应用免疫抑制剂、严密的术后护理和实验室监测是高龄患者肾移植成功的关键。
Objective To investigate the treatment of elderly patients with renal transplantation. Methods Nine cases of elderly patients over the age of 50 underwent renal transplantation. Results In addition to one patient died of DIC and heart failure early after operation, the remaining 8 patients were followed up for 0.5-6 years (7 of them survived> 1.5 years) and both of them survived. Conclusions Preoperative effective treatment of the original disease, rational use of immunosuppressive agents, strict postoperative care and laboratory monitoring is the key to the success of renal transplantation in elderly patients.