Koban F, Heinrich H G, Hornak H, Rose W, Lincke H U
Klinik für Innere Medizin der Medizinischen Akademie, Carl Gustav Carus Dresden.
Z Urol Nephrol. 1988 Oct;81(10):657-60.
By the experience of two smaller dialysis centers the prognosis and problems of dialysis therapy in older patients are described. The age in the onset of dialysis treatment ranged from 45 to 54 years. In the beginning of dialysis the average life expectancy of older patients is markedly lower in comparison with younger patients, but remarkable in single cases with more than 4 and 5 years. The problems of adaptation and complications do require much attention and allowance. Contra-indications to dialysis therapy in older patients could not be explained. The demand for a stronger consideration of this patient group in planning of dialysis capacity is established through an international comparison and a possible rehabilitation of the patients.
通过两个较小透析中心的经验,描述了老年患者透析治疗的预后和问题。透析治疗开始时的年龄在45至54岁之间。在透析开始时,老年患者的平均预期寿命与年轻患者相比明显较低,但个别病例中超过4年和5年的情况也很显著。适应问题和并发症确实需要给予更多关注和考虑。老年患者透析治疗的禁忌症尚无法解释。通过国际比较以及患者可能的康复情况,确立了在规划透析能力时更加强烈考虑这一患者群体的必要性。