Widera R, Fritzsche D, Krakor R, Lindenau K F
Klinik für Herz- und Gefässchirurgie, Universität Leipzig.
Z Gesamte Inn Med. 1991 Sep;46(13):474-7.
It is reported on first own experiences in the cardiosurgical treatment of patients with terminal renal insufficiency. Frequency of cardiovascular complications and their high lethality in this group of disease force into early and routine use of cardiological diagnostics and cardiosurgical therapy. The surgical indication should exclusively be based on the severity of the present heart disease. The permanent dialysis treatment is no contraindication. When the patients are carefully selected and with close cooperation of all specialties participating the operative risk of patients with terminal renal insufficiency does not essentially differ from that one of patients with healthy kidneys.
本文报道了终末期肾功能不全患者心脏外科治疗的首批自身经验。在这类疾病中，心血管并发症的发生率及其高致死率促使早期和常规使用心脏诊断和心脏外科治疗。手术指征应仅基于当前心脏病的严重程度。长期透析治疗并非禁忌证。当患者经过精心挑选且所有参与的专科密切合作时，终末期肾功能不全患者的手术风险与健康肾脏患者的手术风险并无本质差异。
