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一家大型地区医院治疗终末期肾病的经验。

A large regional hospital's experience with treatment of end-stage renal disease.

作者信息

Handa S P, Wolf H K

出版信息

Can Med Assoc J. 1983 Sep 1;129(5):435-8.

PMID:6349764
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1875155/
Abstract

During the first 10 years of the treatment program for end-stage renal disease at the Saint John (New Brunswick) Regional Hospital 164 adults were treated by hemodialysis (with or without renal transplantation, performed outside of the province) or peritoneal dialysis. The primary causes of renal disease were not significantly different in men and women except for glomerulonephritis, which was twice as common in men as in women. Life-table analysis showed that the younger transplant recipients had the highest survival rate, but that the prognosis was almost as good among the much older patients who received continuous ambulatory peritoneal dialysis. Probably because they tended to be younger and their renal disease was caused by less threatening conditions, men survived longer than women. The survival rates were significantly related to the primary cause of the renal disease; patients with diabetes or systemic disease had the worst prognosis. Overall, these results compare well with those obtained in major university centres.

摘要

在圣约翰(新不伦瑞克省)地区医院针对终末期肾病的治疗项目开展的头10年里,164名成年人接受了血液透析(无论是否进行了省外的肾移植)或腹膜透析。除肾小球肾炎外,肾病的主要病因在男性和女性中并无显著差异,肾小球肾炎在男性中的发病率是女性的两倍。生命表分析显示,较年轻的移植受者生存率最高,但接受持续非卧床腹膜透析的年龄大得多的患者预后几乎同样良好。男性可能因为往往更年轻且其肾病由威胁性较小的病症引起,所以比女性存活时间更长。生存率与肾病的主要病因显著相关;糖尿病或全身性疾病患者的预后最差。总体而言,这些结果与主要大学中心所取得的结果相当。

相似文献

1
A large regional hospital's experience with treatment of end-stage renal disease.一家大型地区医院治疗终末期肾病的经验。
Can Med Assoc J. 1983 Sep 1;129(5):435-8.
2
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本文引用的文献

1
A computer program for comparing K samples with right-censored data.一个用于比较有删失数据的K个样本的计算机程序。
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Prediction of creatinine clearance from serum creatinine.根据血清肌酐预测肌酐清除率。
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Results of 12 years' treatment of chronic renal failure by dialysis and transplantation.透析和移植治疗慢性肾衰竭12年的结果。
Can Med Assoc J. 1978 Feb 4;118(3):263-6.
4
Survival of patients treated for end-stage renal disease by dialysis and transplantation.接受透析和移植治疗的终末期肾病患者的生存率。
Can Med Assoc J. 1977 Oct 22;117(8):880-3.