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肾移植后儿童的管理:儿科医生的重点关注。

Management of children after renal transplantation: highlights for general pediatricians.

机构信息

1 Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada ; 2 Department of Internal Medicine, McMaster University, Hamilton, Ontario, Canada.

出版信息

Transl Pediatr. 2012 Jul;1(1):35-46. doi: 10.3978/j.issn.2224-4336.2012.02.02.

Abstract

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.

摘要

接受成功肾移植的儿童人数一直在稳步增加,因此,现在普通儿科医生在实践中更有可能遇到接受肾移植的儿童。虽然移植后立即的医疗护理主要由移植团队提供,但越来越多的门诊护理最终将在患者所在的社区进行。普通儿科医生的医疗护理尤为重要,特别是对于那些居住在远离移植中心的儿童。由于这些儿童需要长期的免疫抑制治疗,并且容易出现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儿童肾移植受者方面的作用和常见的实践相关问题。

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本文引用的文献

1
Pneumocystis jirovecii pneumonia in kidney transplantation.肾移植受者中的耶氏肺孢子菌肺炎
Transpl Infect Dis. 2011 Dec;13(6):551-8. doi: 10.1111/j.1399-3062.2011.00691.x. Epub 2011 Oct 31.
2
Diagnosis and prevention of chronic kidney allograft loss.慢性移植肾丢失的诊断和预防。
Lancet. 2011 Oct 15;378(9800):1428-37. doi: 10.1016/S0140-6736(11)60699-5.
8
Rejection of the kidney allograft.肾移植排斥反应。
N Engl J Med. 2010 Oct 7;363(15):1451-62. doi: 10.1056/NEJMra0902927.

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