Pena J R
Acta Med Port. 1989 Nov;Suppl 2:S11-5.
The modern treatment of renal failure has been one of the most exciting developments of modern medicine. Within this field the portuguese doctors had a performance that compares with the average developed countries. The number of patients that need haemodialysis and renal transplantation is still increasing. These treatments are very expensive. As the patients would die if not treated, this whole issue is a political concern and a public health problem. We give the demographic outline of this CRF patients group. Dialysis and transplantation should be in balance, with a particular stress on transplantation because it is much less expensive. Shortness of organ supply has been like elsewhere the most important limiting factor of renal transplantation. Some public controversy concerning brain death, permission, and commercial profit from organ donation, has been sometimes deleterious. We review the results of renal transplantation. In 1987 and 1988, 92% of transplanted kidneys had still function after one year. We conclude that our programs in Portugal can expand, on the condition that people keep their acceptance and give their support to transplanting teams.
肾衰竭的现代治疗一直是现代医学最令人瞩目的进展之一。在这个领域，葡萄牙医生的表现可与发达国家的平均水平相媲美。需要血液透析和肾移植的患者数量仍在增加。这些治疗费用高昂。由于患者若不接受治疗就会死亡，整个问题成为了一个政治关切和公共卫生问题。我们给出了这个慢性肾衰竭患者群体的人口统计学概况。透析和移植应保持平衡，尤其要强调移植，因为移植的费用要低得多。器官供应短缺一直是肾移植最重要的限制因素，在其他地方也是如此。关于脑死亡、许可及器官捐赠商业利益的一些公众争议有时会产生有害影响。我们回顾了肾移植的结果。在1987年和1988年，92%的移植肾在一年后仍有功能。我们得出结论，葡萄牙的相关项目可以扩大，前提是人们保持接受态度并给予移植团队支持。
