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透析和移植治疗慢性肾衰竭12年的结果。

Results of 12 years' treatment of chronic renal failure by dialysis and transplantation.

作者信息

Price J D, Ashby K M, Reeve C E

出版信息

Can Med Assoc J. 1978 Feb 4;118(3):263-6.

Abstract

The survival of 305 patients with chronic renal failure treated at the Vancouver General Hospital by centre and home peritoneal dialysis, centre and home hemodialysis and cadaver renal transplantation over a 12-year period was analysed. There was decreasing survival with age except in patients undergoing home dialysis. Hypertension and analgesic nephropathy as primary causes of renal disease were associated with a poor prognosis. Hence age and diagnosis appear to be two of the main determinants of survival. Cardiovascular disease was the commonest cause of death but seven deaths were due to dialysis dementia. The results compare favourably with other published statistics.

摘要

对温哥华总医院12年间采用中心和家庭腹膜透析、中心和家庭血液透析以及尸体肾移植治疗的305例慢性肾衰竭患者的存活情况进行了分析。除接受家庭透析的患者外,存活率随年龄增长而降低。高血压和镇痛剂肾病作为肾病的主要病因与预后不良相关。因此,年龄和诊断似乎是存活的两个主要决定因素。心血管疾病是最常见的死亡原因,但有7例死亡归因于透析性痴呆。结果与其他已发表的统计数据相比很有利。

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