Huisman R M
Academisch Ziekenhuis, afd. Nefrologie, Groningen.
Ned Tijdschr Geneeskd. 1997 Feb 1;141(5):229-33.
In the Netherlands, only one third of the patients of 65 years or older with terminal renal failure are currently admitted to dialysis treatment. Dialysis in older patients frequently leads to adequate survival and good subjective quality of life. In other words, age as such is not a contraindication to dialysis. Haemodialysis and peritoneal dialysis have about the same clinical results in older patients, as is the case in younger age groups; the choice depends on patient-linked factors and on the patient's preference. It is to be expected that in a number of years the majority of dialysis patients will be aged 65 years or older.
在荷兰,目前65岁及以上的终末期肾衰竭患者中只有三分之一接受透析治疗。老年患者进行透析常常能带来足够的生存期和良好的主观生活质量。换句话说,年龄本身并非透析的禁忌证。血液透析和腹膜透析在老年患者中的临床效果大致相同,这与年轻患者群体的情况一样;选择取决于与患者相关的因素以及患者的偏好。预计在若干年后,大多数透析患者的年龄将在65岁及以上。