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灾难发生时,不要忘记移植患者。

Do not forget about transplant patients during disasters.

机构信息

Division of Nephrology and Hypertension, Department of Medicine.

Department of Medicine, Mayo Clinic, Phoenix, Arizona.

出版信息

Curr Opin Nephrol Hypertens. 2024 Nov 1;33(6):627-635. doi: 10.1097/MNH.0000000000001021. Epub 2024 Sep 12.

Abstract

PURPOSE OF REVIEW

The frequency of natural disasters and man-made conflicts has risen significantly in the past two decades, coinciding with an increase in kidney transplant recipients globally. This review addresses the critical need for disaster preparedness to mitigate the severe impacts on this vulnerable patient cohort.

RECENT FINDINGS

Kidney transplant recipients are highly dependent on robust healthcare infrastructures for ongoing care, including specialized medical staff, advanced diagnostics, and a consistent supply of immunosuppressive medications. Disasters disrupt these essential services, leading to increased risks of organ rejection, infections, and other medical complications. Strategies at various levels, from government to individual patients, can help maintain care continuity during such crises.

SUMMARY

Effective disaster preparedness plans involving strategic medication stockpiling, emergency communication systems, and patient education are crucial to support kidney transplant recipients. By implementing these measures, healthcare systems can better protect the health and well being of transplant patients during and after disasters.

摘要

目的综述

在过去的二十年中,自然灾害和人为冲突的频率显著上升,与此同时,全球范围内接受肾移植的患者也在增加。本综述探讨了为减轻这一脆弱患者群体所受的严重影响而做好灾害应对准备的迫切需求。

最近的发现

肾移植受者高度依赖健全的医疗基础设施来进行持续的护理,包括专门的医疗人员、先进的诊断技术和持续的免疫抑制药物供应。灾害会破坏这些基本服务,导致器官排斥、感染和其他医疗并发症的风险增加。从政府到个体患者的各个层面都可以采取策略,以帮助在危机期间维持护理的连续性。

总结

涉及战略药物储备、紧急通信系统和患者教育的有效的灾害应对准备计划对于支持肾移植受者至关重要。通过实施这些措施,医疗体系可以在灾害期间和之后更好地保护移植患者的健康和福祉。

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