Lau Keith K, Giglia Lucy, Chan Howard, Chan Anthony K
Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
Zhongguo Dang Dai Er Ke Za Zhi. 2012 Feb;14(2):81-8.
The number of children undergoing successful renal transplantations has been increasing steadily and as a result, general pediatricians are now more likely to encounter children with a kidney allograft in their practice. Although the medical care immediately after transplantation is mostly provided by transplant teams, more and more outpatient care will eventually be performed at the patient's local community. Medical care from general pediatricians is particularly important, especially for children who are residing far from transplant centers. As these children require prolong immunosuppressive therapies and are susceptible to various specific clinical problems, it is imperative for their primary care providers and pediatricians to be knowledgeable about their specific needs and be competent in providing care. This article highlights the roles and common practice related issues that pertain to general pediatricians in the care of pediatric renal allograft recipients.
接受成功肾移植的儿童数量一直在稳步增加,因此,普通儿科医生现在在其临床工作中更有可能遇到接受同种异体肾移植的儿童。虽然移植后的 immediate 医疗护理大多由移植团队提供,但越来越多的门诊护理最终将在患者当地社区进行。普通儿科医生提供的医疗护理尤为重要,尤其是对于居住在远离移植中心的儿童。由于这些儿童需要长期免疫抑制治疗,且易患各种特定的临床问题,因此他们的初级保健提供者和儿科医生必须了解他们的特殊需求并具备提供护理的能力。本文重点介绍了普通儿科医生在照顾小儿同种异体肾移植受者中的作用和常见的临床实践相关问题。