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高龄肾移植
相关语句
  elder patients with kidney transplantation
     Clinical Study of Different Immunosuppressive Regiments on Elder Patients with Kidney Transplantation
     不同免疫抑制方案对高龄肾移植受者长期存活的临床研究
短句来源
     Objective: To investigate the effect of the different immunosuppressive regiments on long-term recipient/graft survival of elder patients with kidney transplantation(KT).
     目的 :回顾分析不同免疫抑制方案对高龄肾移植受者长期人 /肾存活的影响。 方法 :5 4例高龄肾移植患者分为两组 :组1术后用药方案为环孢素A(CsA) +硫唑嘌呤 (Aza) +泼尼松 (Pred) 30例 ;
短句来源
  “高龄肾移植”译为未确定词的双语例句
     Abservation and Nursing of the High Year Patients of Renal Transplantation in Postoperation
     高龄肾移植患者术后的观察护理
短句来源
     study on the Factors effect the reduction of SPO_2 for aged patients after Kidney transplantation and it’s nursing strategy
     影响高龄肾移植患者术后SPO_2降低的因素及护理对策
短句来源
     The Cardiovascular Problem in Elder Renal Allograft Recipients
     高龄肾移植患者的心血管问题
短句来源
     To sum up the cedovascular problem and the management experience in elder renal allograft recipients.
     目的:总结高龄肾移植患者的心血管问题及其处理经验,提高肾移植的存活率。
短句来源
     Objective To analysis the clinical characteristics of kidney transplantation for the aged recipients and the influence of quadruple immunosuppressant on treatment result.
     目的 探讨高龄肾移植的临床特点及新型免疫抑制剂对高龄患者的影响。
短句来源
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  相似匹配句对
     Renal Transplantation in Older Patients
     高龄患者移植的体会
短句来源
     The Clinic Studies of Old-aged Patients With Cadaveric Kidney Transplantation
     高龄患者移植的临床研究
短句来源
     Clinical study of renal transplantation in older patients
     高龄患者移植的临床研究
短句来源
     The Cardiovascular Problem in Elder Renal Allograft Recipients
     高龄移植患者的心血管问题
短句来源
     Cadaver kidney transplantation for advanced age CRF patients
     高龄尿毒症患者的尸体移植
短句来源
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45 elderly patients have undergone cadaveric renal transplantation that account for 30.2 percent of 149 patients grafted from Feb, 1988 to Feb, 1992 in our hospital. 37 of the elderly patients were 50~60 years and 8 over 60 years. The average heart/chest ratio was 0.56 with 10 patients more than 0.6. Coronary insufficient perfusion was found in 7 patients and cardiac arrhythmia in 4 patients. Titanium nails were used in 29 patients for the anastomosis of donor renal artery with recipient internal lilac artery...

45 elderly patients have undergone cadaveric renal transplantation that account for 30.2 percent of 149 patients grafted from Feb, 1988 to Feb, 1992 in our hospital. 37 of the elderly patients were 50~60 years and 8 over 60 years. The average heart/chest ratio was 0.56 with 10 patients more than 0.6. Coronary insufficient perfusion was found in 7 patients and cardiac arrhythmia in 4 patients. Titanium nails were used in 29 patients for the anastomosis of donor renal artery with recipient internal lilac artery and in 9 patients for the anastomosis of donor and recipient ureters. The application of titanium nails in renal transplantation can solve the problem of arterial suture in elderly patients and at the same time prevent postoperative stenosis of renal artery, stenosis of the ureterovcsical anastomosis and vesicouretcral reflux, arid urine linkage. One year patient/graft survival rate was 77.3%/68.2%. In author's opinion, the age of recipients is not a decisive factor influencing the final graft survival. For most patients, however, renal transplantation is still an optional effective treatment. The authors have also proposed some important measures and management in the transplantation of elderly patients.

本文报道45例高龄肾移植患者,其中29例采用钛轮钉作髂内动脉与肾动脉吻合术,9例用于输尿管对端吻合。作者认为采用钛轮钉解决了高龄移植者动脉缝合技术的难度,并可防止术后肾动脉狭窄、避免输尿管膀胱吻合口的狭窄与逆流,以及预防尿瘘的发生。认为受者年龄不是肾移植成功与否的绝对因素,并提出高龄患者行肾移植应加强的环节和措施。

From Jan.1989 to Dec.1995,182 patients out of 556 underwent kidney transplantation was above 50 years of age.The 1 year,3 year and 5 year patient/graft survival rate of these elderly patients were 83.4%/79.3%,77.1%/71.1%and 54.5%/45.5% respectively with no significant difference to the younger patients and so was the incidence of acute rejection episodes.However,post operative incidence of infection was higher.Infection and cardiovascular complication were the main causes of morbidity and mortality in elderly...

From Jan.1989 to Dec.1995,182 patients out of 556 underwent kidney transplantation was above 50 years of age.The 1 year,3 year and 5 year patient/graft survival rate of these elderly patients were 83.4%/79.3%,77.1%/71.1%and 54.5%/45.5% respectively with no significant difference to the younger patients and so was the incidence of acute rejection episodes.However,post operative incidence of infection was higher.Infection and cardiovascular complication were the main causes of morbidity and mortality in elderly patients.It was pointed out that kidney transplantation is not contraindicated in elderly patients.The indication,preoperative care,immuno suppressive therapy and the postoperative care for elderly patients were discussed.

自1989年1月~1995年12月共施行同种异体尸肾移植术556例次,其中50岁以上患者182例(327%),对这些患者的临床资料进行比较分析。结果显示:50岁以上组1、3、5年的人/肾存活率分别为834%/793%、771%/711%和545%/455%,与49岁以下组比较差异无显著性(P>005),急性排斥发生率并不比49岁以下组高,并发症发生率尤其是感染发生率及致死率均高于49岁以下组(P<005)。本资料说明,年龄不是肾移植的主要影响因素,感染和心血管并发症是主要的死亡原因和影响长期存活的因素。适应证的选择和术前充分透析,术后合理应用免疫抑制剂,定期复查及心、肝、肺功能的监护,是提高高龄肾移植患者长期存活的主要因素。

To sum up the cedovascular problem and the management experience in elder renal allograft recipients. Methods: The cardiovascular problem in 96 cases of elder renal allograft recipients wer reviewed.Results:Six cases of coronary t=heart disease(CHD) were found before opration, four were identified by coronary arteriography ,coronary bypass operation was done in thre of them. Successful opetraion was done in all six patients,and all patients/allografts survived well. pre-operation examinations found...

To sum up the cedovascular problem and the management experience in elder renal allograft recipients. Methods: The cardiovascular problem in 96 cases of elder renal allograft recipients wer reviewed.Results:Six cases of coronary t=heart disease(CHD) were found before opration, four were identified by coronary arteriography ,coronary bypass operation was done in thre of them. Successful opetraion was done in all six patients,and all patients/allografts survived well. pre-operation examinations found four chronic hypotension patients , bicarbonate chalysis ,albumin,ephedrine and argipressin were given before operation, albumin and drugs were given to maintain the blood pressure during and after operation. One patient we done allograft removal because of persistent hypotension, the others survived well. Posttransplantation heart failure was found in 10 patients, after hemodialysis ultrafiltration, positively inotropic agents and diuretics treatmetn,2were died,the others survived well.A high degree of atrioventricular block (AVB) patient with artificial pacemaker was found before operation,the operation successful, the patient was are survival well for more than five years.Two eases of frequent Ventriclarpremature beats were found after operation , one conrolled by drugs, one died. because of heart failare. Conclusion: Coronary arteriograpgy should be done if possible to comfirm the suspicious CHD patients. If significant multivessel or main coronary vessel stenosis(> 70% ) was found surngical correction should be recommended.Pretrantehohanahon chmnic hypoendon, if controlled actively, was not a Contradiction of f renal engraft.Posttransplantaiton heat failure was caused by volume oveload,hemodialysis ultrafiltraiton was a critical treatment. High degree of AVB patient with pacemaker was not a contradiction of renal transplatation.

目的:总结高龄肾移植患者的心血管问题及其处理经验,提高肾移植的存活率。方法:对96例高龄肾移植患者的心血管问题进行回顾性分析、结果:术前检查发现冠心病6例,4例经冠状动脉造影证实,3例行冠状动脉搭桥术,6例病人均顺利度过手术关,木后人、肾存活;术前慢性低血压4例,予碳酸氢盐透析、白蛋白、麻黄素或精氨酸加压素等处理,术中、术后用白蛋白、升压药维持血压,1例因血压不能维持而切肾,另3例人、肾存活好;术后心力裹竭10例,经血液透析超滤脱水、强心、利尿等处理,2例死亡,余存活好;术前高度房室传导阻滞1例,安装起搏器后行肾移植术,过程顺利,人、肾存活5年余。术后频发室性早搏2例,1例用药物按制,1例因合并心力衰竭而死亡。结论:对疑为冠心病的高龄肾移植受者应尽可能行冠状动脉造影术,对多支血管严重狭窄(大于70%)或冠状动脉主干病变应行外科纠正。术前慢性低血压经积极处理后可行肾移植术。水后心力衰竭多由容量过多引起,血液透析超滤脱水十分重要。高度房室传导阻滞安装起搏器后不是肾移植手术的禁忌。

 
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