Sumethkul V, Jirasiritham S, Chiewsilp P, Domrongkitchaiporn S, Sujirachato K, Mongkolsuk T, Sriphojanart S, Kanjanapanjapol S, Chakkaphak S, Leela-Udomlipi S, Leenanupunth C, Tirapanich W, Chaimuangraj S, Kochakarn W, Tapaneya-Olarn W, Tardtong P, Leungwattanakij S, Angkoolpakdeekul T, Lertchalorarn K, Tansupasiri P, Gojaseni P
Department of Medicine, Thai Red Cross Society, Bangkok, Thailand.
J Med Assoc Thai. 2000 Mar;83 Suppl 1:S35-41.
The Kidney Transplantation Program at Ramathibodi Hospital was established in 1985. By the end of 1998, there were 1,614 patients on the cumulative waiting list. The first kidney transplantation (KT) was started in 1986 by using kidney from living-related donor (LD) while cadaveric KT (CD-KT) was started in 1987. A total of 528 KT were done, 278 cases (52.7%) were CD-KT and 250 cases (47.3%) were LD-KT. Six patients had two kidney transplants. 278 kidneys were donated from 189 cadaveric donors. Fifty cadaveric donors (26.4%) were from Ramathibodi Hospital while the rest were from other hospitals and the Organ Donation Center, Thai Red Cross Society. For LD, 233 out of 250 (93.2%) were from living-related, more than 50 per cent of these donors were from siblings. 17 spousal donors have been accepted for KT at Ramathibodi Hospital since 1997. Concerning the recipient pools, 522 patients (32.3%) were transplanted, 123 patients (7.6%) died without KT, 111 patients (6.9%) underwent KT at other hospitals, and 78 patients (4.8%) changed to waiting lists at other hospitals. The rest were lost to follow-up. At present, only 265 patients are still actively waiting (send serum every month). The number of KT and living donors has gradually increased, whereas, the number of cadaveric donors has decreased. However, cooperation with the "Organ Donation Center" has improved the number of cadaveric donation in the last two years. Sufficient organ donations and an active working team will provide a good kidney transplant service for the patients.
拉玛蒂博迪医院的肾脏移植项目始于1985年。截至1998年底，累计等待名单上有1614名患者。首例肾脏移植（KT）于1986年采用亲属活体供肾（LD）开展，而尸体肾移植（CD-KT）于1987年开始。共进行了528例KT，其中278例（52.7%）为CD-KT，250例（47.3%）为LD-KT。6名患者接受了两次肾脏移植。278个肾脏来自189名尸体供者。50名尸体供者（26.4%）来自拉玛蒂博迪医院，其余来自其他医院和泰国红十字会器官捐赠中心。对于LD，250例中有233例（93.2%）来自亲属，其中超过50%的供者为兄弟姐妹。自1997年以来，拉玛蒂博迪医院已接受17名配偶供者进行KT。关于受者群体，522名患者（32.3%）接受了移植，123名患者（7.6%）未接受KT死亡，111名患者（6.9%）在其他医院接受了KT，78名患者（4.8%）转至其他医院的等待名单。其余患者失访。目前，只有265名患者仍在积极等待（每月送血清）。KT和活体供者的数量逐渐增加，而尸体供者的数量有所减少。然而，与“器官捐赠中心”的合作在过去两年中提高了尸体捐赠的数量。充足的器官捐赠和积极的工作团队将为患者提供良好的肾脏移植服务。
