Müller-Wiefel D E
Monatsschr Kinderheilkd. 1980 Nov;128(11):692-5.
Survival of children with chronic renal failure has been improved by the introduction of dialysis and transplantation, especially in pediatric nephrology units. Unfortunately transplantation is still underrepresented in the Federal Republik of Germany, compared with other European countries. The different significance of both procedures is illustrated on the basis of the therapeutic experience in 178 children with chronic renal failure at the University Children's Hospital Heidelberg. Differential indications and contraindications for dialysis and transplantation in childhood are discussed and the advantages of both procedures are compared. It is concluded that dialysis and transplantation in children are not alternative but complementing forms of management. A careful organisation has to guarantee the smooth transition between both forms of treatment.
透析和移植手段的引入改善了慢性肾衰竭患儿的存活率，尤其是在儿科肾脏病治疗单位。遗憾的是，与其他欧洲国家相比，德国联邦共和国的移植治疗比例仍然较低。根据海德堡大学儿童医院对178例慢性肾衰竭患儿的治疗经验，阐述了这两种治疗手段的不同意义。讨论了儿童透析和移植的不同适应证和禁忌证，并比较了这两种治疗手段的优势。得出的结论是，儿童透析和移植并非替代而是互补的治疗方式。必须精心组织以确保两种治疗方式之间的平稳过渡。
