Levy N B
Liaison Psychiatry Division, New York Medical College, Valhalla, NY 10595.
Psychosomatics. 1994 Sep-Oct;35(5):427-33. doi: 10.1016/S0033-3182(94)71736-9.
The kidney was the first vital organ to be transplanted and the progenitor of knowledge of transplant immunology and psychology. With dialysis, it has heralded a new phase of medicine in which organs necessary for life can be replaced by transplanted ones or by artificial means. Many factors play a role in the decision to donate a kidney. Psychiatric complications of renal transplantation include those arising as a result of the use of immunosuppressants, anxiety, and sexual dysfunctions. Treatment should address the identifications of patients who are prone for psychological complications, the use of psychotropic medications, and the use of behavioral techniques for sexual dysfunction.
肾脏是首个被移植的重要器官，也是移植免疫学和心理学知识的起源。借助透析技术，它开启了医学的新阶段，在这个阶段，维持生命所需的器官可以通过移植或人工手段来替代。许多因素在肾脏捐赠的决策中发挥作用。肾移植的精神并发症包括因使用免疫抑制剂、焦虑和性功能障碍而产生的并发症。治疗应针对易出现心理并发症的患者的识别、精神药物的使用以及针对性功能障碍的行为技术的应用。
