van der Vliet J A, Kootstra G, Tegzess A M, Meijer S, Slooff M J
Tijdschr Kindergeneeskd. 1981 Jun;49(3):102-7.
In view of the shortage of cadaveric donors a retrospective study has been performed to determine the results of transplantation of paediatric cadaver donor kidneys into adult recipients. Graft- and patient survival and renal function in the 31 cases, analysed in this study, showed no adverse effect of the use of pediatric donor kidneys. No vascular complications were encountered. In only one case ureteric leakage occurred and was treated successfully. It is concluded that paediatric age is no criterion for donor exclusion and that paediatric donors are to be regarded as a valuable source of cadaveric kidneys for transplantation. Also the possibility to perform nephrectomies in anencephalic newborn infants is to be considered.
鉴于尸体供体短缺,已开展一项回顾性研究以确定将小儿尸体供肾移植给成年受者的结果。本研究分析的31例病例的移植物和患者存活率及肾功能显示,使用小儿供肾没有不良影响。未出现血管并发症。仅1例发生输尿管漏,且治疗成功。得出的结论是,小儿年龄不应作为排除供体的标准,小儿供体应被视为移植用尸体肾的宝贵来源。还应考虑在无脑儿新生儿中进行肾切除术的可能性。