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相關文獻
- Kidney Transplantation in Pediatric End Stage Uremic Patients
- 小兒的腎臟移植
- Renal Transplantation at a Medical Center in Taiwan
- 處方評估及用藥檢討:腎移植後急性排斥之治療
- 腎移植者生活品質之研究
- Porphyromonas Gingivalis Bacteremia and Subhepatic Abscess after Renal Transplantation: A Case Report
- Malignancy Following Renal Transplantation
- Long-term Results with Pediatric Kidney Transplants in Adult Recipients
- 腎臟移植手術
- 腎臟移植護理
頁籤選單縮合
題 名 | Kidney Transplantation in Pediatric End Stage Uremic Patients=小兒末期尿毒病患接受腎臟移植之經驗 |
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作 者 | 陳志碩; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 25:6 民81.11-12 |
頁 次 | 頁1461-1466 |
分類號 | 417.6252 |
關鍵詞 | 小兒末期尿毒; 腎臟移植; |
語 文 | 英文(English) |
中文摘要 | 長庚紀念醫院從1981年7月到1991年4月,其間共202例接受腎臟移植手術,有6例年齡小於18歲。2例接受親屬捐贈,而臨危捐贈的有4例。免疫抑制劑除腎上腺類固醇外有2例採用Azathioprine,1例接受環孢靈(Cylosporin A)其他3例合併環孢靈與Azathioprine的免疫抑制作用。這6例中有2例發生腎臟排斥現象。接受環孢靈免疫抑制劑的小孩,需要比成年人更高的劑量以達到維持濃度(5.58±1.37 mg/kg/day)。而小兒腎臟移植後體重的成長也有 改善(p=0.0464)。至於手術方式與成年人並無差異,但是腎動脈的重建採取間隔縫合以防止日後動脈狹窄的發生。他們平均追院5.25±1.97年。所有的移植腎臟術後功能都很正常,病人皆能擁有正常的生活與較佳的營養與生長狀態,而且對未來的人生比較樂觀,自我期許也都明顯的提升。對小兒慢性腎衰竭,腎臟移植無疑提供了另一種治療選擇。 |
英文摘要 | Among 202 renal transplant recipients from July 1981 to April 1991, 6 of them were less than 18 years of age at the time of transplantation. Two received living-related kidneys and four, cadaveric kidneys. Patients were treated with azathioprine (2 cases), or cyclosporin A (1 case), or a combination of both (3 cases) in addition to prednisolone. Two had rejection episodes. Those receiving cyclosporin A required a higher dose than adults (5.58±0.55 vs 3.90±1.37 mg/kg/day) to maintain adequate cyclosporine level. Post-operative increase body weight seemed to have significance (P=0.0464). Surgical techniques were quite similar to those used for adult recipients, except that interrupted sutures were used for arterial anastomosis to prevent future arterial stenosis. The six patients are 5.25±1.97 years post-transplantation at the present time. All of them enjoy functioning graft, normal life, improved nutritional status and positive psychological self-esteem, although linear growth was suboptimal after transplantation. Kidney transplantation is one of the treatments of choice for chronic renal failure in pediatric patients. |
本系統中英文摘要資訊取自各篇刊載內容。