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20世纪70年代世界范围内透析和移植业务的发展。

Development of dialysis and transplant activity in the world during the seventies of the 20th century.

作者信息

Válek A, Wing A J

出版信息

Z Exp Chir Transplant Kunstliche Organe. 1984;17(2):69-78.

PMID:6375179
Abstract

Statistical surveys of dialysis and transplantation activities, conducted every year since 1965, and in greater detail since 1971, by the European Dialysis and Transplant Association and, according to its example, also by certain institutions in other countries, are very valuable and serve as a basis for a further development of these activities and for their management in the different countries. Also the firms manufacturing dialysis equipment make use of this information for the planning of their production. The dialysis and transplant therapy in the national range in the rich industrial countries was on the increase at the turn of sixties and seventies. This expansion was enabled by the sophisticated dialysis technique, produced in the factories and by the fact that the governments were taking on all expenses of the therapy. The development of dialysis and transplant activity in the European socialist countries was slower than in the western rich industrial states. It was due to the lack of currency for the import of dialysis technique. As the dialysis technique has been produced in some of these countries from the beginning of the eighties, one can expect the same expansion of the dialysis and transplant therapy in this decade as it was in the western countries ten years ago. The dialysis and transplant programme in the developing countries is negligible because their gross national product per capita is too low. Success of the dialysis therapy depends on the quality of the dialysis technique. It is hardly understandable why less expensive modes of therapy such as home dialysis and transplantation are less frequently used than centre dialysis in the majority of countries.

摘要

自1965年起,欧洲透析与移植协会每年都会开展透析和移植活动的统计调查,自1971年起调查更为详细,其他国家的一些机构也效仿其做法。这些调查非常有价值,为这些活动在不同国家的进一步发展及其管理提供了依据。生产透析设备的公司也利用这些信息来规划生产。在六七十年代之交,富裕工业国家国内的透析和移植治疗呈上升趋势。这种扩张得益于工厂生产的先进透析技术,以及政府承担治疗的所有费用这一事实。欧洲社会主义国家透析和移植活动的发展比西方富裕工业国家要慢。这是由于缺乏进口透析技术所需的资金。由于其中一些国家从80年代初就开始生产透析技术,预计在这十年里,透析和移植治疗将像十年前在西方国家那样得到同样的发展。发展中国家的透析和移植项目微不足道,因为它们的人均国民生产总值太低。透析治疗的成功取决于透析技术的质量。在大多数国家,诸如家庭透析和移植等成本较低的治疗方式比中心透析使用得更少,这很难理解。

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