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我院自1978年4月至1993年10月施行同种异体尸肾移植术547例次,其中50岁以上患者81例,占14.8%。术后常见的并发症为肺部感染、脑血管意外、心肌梗塞及消化道出血。死亡率高于低危人群肾移植患者。1年人/肾存活率为85.7%/81.5%。本文就高龄患者肾移植手术的适应症、术后新型免疫抑制剂的应用及长期存活的经验进行讨论。
Our hospital from April 1978 to October 1993 implementation of allograft cadaver kidney transplantation 547 cases, of which 81 patients over the age of 50, accounting for 14.8%. Common postoperative complications are pulmonary infections, cerebrovascular accidents, myocardial infarction and gastrointestinal bleeding. Mortality is higher than in low-risk kidney transplant recipients. One-year human / kidney survival rate was 85.7% / 81.5%. This article discusses the indications of renal transplantation in elderly patients, the application of new immunosuppressive agents after surgery and the long-term survival experience.