作者分析了比利时一个医疗中心14年间血液透析(下称血透)和肾移植病人生存率的演变及其与各种因素的关系。1965～1978年接受血透399例,肾移植269例共313次。尽管高龄和继发于全身疾病的肾功能衰竭病人比例增多,血透的4年生存率仍从16%(1965～1968年)逐渐提高到68%(1969～1974年)和89%(1975～1978年)。血管合并症是影响长期透析病人生存率的重要因素,肾动脉硬化和开始透析时有严重 The authors analyzed the evolution of survival rates of patients undergoing hemodialysis (hemodialysis) and renal transplantation in a Belgian medical center over a 14-year period and their relationship to various factors. From 1965 to 1978 hemodialysis 399 cases, 269 cases of kidney transplantation a total of 313 times. Although the proportion of elderly patients with renal failure secondary to systemic disease increased, the 4-year hemodialysis survival rate gradually increased from 16% (1965-1968) to 68% (1969-74) and 89% (1975- 1978). Vascular complications is an important factor affecting the survival rate of long-term dialysis patients, renal atherosclerosis and dialysis start serious