论文部分内容阅读
目的:为通过对里昂市Edouard-Herriot医院里接受肾移植的患儿进行回顾性研究,以找出其生存和死亡的影响因素。病例和方法:对194例0至不足18岁的于1984年4月至2002年1月期间接受过肾移植的患儿进行研究。收集的数据包括:接受肾移植时的年龄、移植前进行透析的平均时间、移植肾的来源(活着亲属的: LRD,死尸的:CAD)及对所有患儿进行长期跟踪回访。11例患儿死于研究期间。我们还收集了有关死亡及患病因素的信息。结果:移植时的平均年龄为9.5岁(极差0.6-17.9岁);接受手术的患儿中有16例小于2岁。86%的患儿接受了1次手术,10%接受了2次手术,有3%的患儿进行了3次手术。有1/3的患儿进行了优先的移植。有18%的移植肾来自LRD,有82%来自CAD。11例患儿(5.7%)死于此期间,其中4例接受过2次移植手术。患儿平均死于移植术后2.4年(极差:2d-6.3
OBJECTIVE: To identify retrospective studies of children who underwent kidney transplants at the Edouard-Herriot hospital in Lyon to find out the factors that influence their survival and mortality. Cases and Methods: A total of 194 children aged 0 to under 18 who had a kidney transplant between April 1984 and January 2002 were enrolled in this study. Data collected included age at kidney transplant, mean time of dialysis before transplantation, source of allograft kidneys (living relatives: LRD, corpse: CAD), and long-term follow-up of all children. Eleven patients died during the study period. We also collect information about the factors of death and illness. Results: The average age at transplantation was 9.5 years (range, 0.6 to 17.9 years); 16 of the children undergoing surgery were younger than 2 years. Eighty-six percent of children received one operation, 10% had two surgeries, and 3% had three surgeries. One third of children underwent a prioritized transplant. 18% of transplant kidneys were from LRD and 82% from CAD. Eleven patients (5.7%) died during this period, of which 4 had two transplant procedures. Children died on average 2.4 years after transplantation (very poor: 2d-6.3