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[终末期肾衰竭合并Ⅰ型糖尿病患者肾移植的准备与实施]

[Preparation and implementation of kidney transplantation in patients with terminal renal failure and type I diabetes].

作者信息

Templin R, Zander E, Bast R, Hudemann B

出版信息

Z Urol Nephrol. 1985 Apr;78(4):215-9.

PMID:4013529
Abstract

The newest results of transplantation in diabetic nephropathy (diabetics type I) of the world were described according to the data of the EDTA and after the symposium in The Hague. Own experience in the field of transplantation carried out in diabetics needing insulin with terminal renal failure were critically evaluated. The investigations in several centres of the GDR concerning the decompensation of diabetic nephropathy show that it is necessary to perform a three- to six-month creatinine control in long-term diabetics from the 15th year of the disease and from a serum value of 200 mumol/l to carry out in good time a common diabetological and nephrological control with test concerning the fitness for a kidney transplantation. Only by this means the conditions for an improvement of the consequence of transplantation may be achieved.

摘要

根据欧洲透析和移植协会(EDTA)的数据以及在海牙举行的研讨会内容,介绍了世界范围内糖尿病肾病(I型糖尿病患者)移植的最新成果。对在需要胰岛素治疗且患有终末期肾衰竭的糖尿病患者中进行移植领域的自身经验进行了批判性评估。民主德国(GDR)几个中心关于糖尿病肾病失代偿的调查表明,对于病程达15年且血清肌酐值达到200微摩尔/升的长期糖尿病患者,有必要每3至6个月进行一次肌酐检测,并及时进行全面的糖尿病学和肾脏病学检查以及肾脏移植适应性检测。只有通过这种方式,才可能改善移植效果。

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