Schena Antonio, Maiorano A M, Zaza G L
U.O.C. Nefrologia, Dialisi e Trapianto, Dipartimento dell'Emergenza e Trapianto d'Organi, Università degli Studi, Policlinico, Bari.
G Ital Nefrol. 2009 Jul-Aug;26(4):468-77.
The objectives of pre-transplant assessment are: a) to ensure that transplantation is technically possible; b) to ensure that the recipient's chances of survival are not compromised by transplantation; c) to ensure that graft survival is not limited by premature death; d) to ensure that pre-existing conditions are not exacerbated by transplantation; e) to identify measures to be taken to minimize perioperative and postoperative complications; f) to inform patients of the likely risks and benefits of transplantation. During the long-term follow-up of living donor kidney transplant recipients, clinicians have to pay attention to the possible recurrence of the primary renal disease, to the identification and, if possible, prevention of noncompliance, and, finally, to immunological monitoring.
a) 确保移植在技术上可行；b) 确保移植不会损害受者的生存机会；c) 确保移植物存活不受过早死亡的限制；d) 确保移植不会使原有病情恶化；e) 确定为尽量减少围手术期和术后并发症而需采取的措施；f) 告知患者移植可能的风险和益处。在活体供肾移植受者的长期随访中，临床医生必须关注原发性肾病的可能复发、识别并尽可能预防不依从情况，最后还要进行免疫监测。
