Hirschl M M
Department of Emergency Medicine, University of Vienna, Austria.
Nephrol Dial Transplant. 1996;11 Suppl 9:98-9. doi: 10.1093/ndt/11.supp9.98.
The proportion of type II diabetic patients requiring renal replacement therapy has increased over the last 15 years. The ideal treatment for these patient is still a matter of dispute. Diabetic patients with a history of myocardial infarction, stroke or peripheral gangrene prior to renal replacement therapy had a worse prognosis compared with patients without vascular complications even after renal transplantation. The main causes of death were myocardial infarction and sepsis. A history of severe vascular complications prior to renal replacement therapy is an independent factor of decreased survival in type II diabetic patients. Renal transplantation significantly improved survival of diabetic patients without vascular complications and should be considered as the treatment of choice in this group of patients.
在过去15年中，需要肾脏替代治疗的II型糖尿病患者比例有所增加。对于这些患者的理想治疗方法仍存在争议。与没有血管并发症的患者相比，在进行肾脏替代治疗前有心肌梗死、中风或外周坏疽病史的糖尿病患者，即使在肾移植后预后也较差。主要死亡原因是心肌梗死和败血症。在进行肾脏替代治疗前有严重血管并发症的病史是II型糖尿病患者生存率降低的独立因素。肾移植显著提高了无血管并发症糖尿病患者的生存率，应被视为这类患者的首选治疗方法。
