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[终末期慢性肾衰竭的流行病学特征及其治疗方式]

[Epidemiologic aspects of terminal chronic kidney failure and its therapeutic modalities].

出版信息

Prog Urol. 1996 Oct;6(5):683-5.

PMID:9102113
Abstract

France occupies second position among industrial countries for the number of patients with chronic renal failure. The incidence of chronic renal failure is 61 per million of inhabitants, and increases by 10 to 20% each year. One third of patients with CRF are renal transplant recipients, while 6% of the remaining patients are treated by chronic ambulatory peritoneal dialysis, 6% by domiciliary haemodialysis and 57% by haemodialysis in a dialysis centre or autodialysis. The mean age of management of patients with end-stage chronic renal failure is 59 years. The role of glomerulonephritis and chronic pyelonephritis appears to be decreasing, but the incidence of diabetic nephropathy has doubled over the last decade. The mean age of transplant recipients is 45 years. The number of transplantations has regularly decreased over several years due to the lack of organs. Chronic renal failure patients essentially die from cardiovascular causes, and the frequency of malignant disease responsible for death is estimated to be 10%.

摘要

在工业化国家中,法国慢性肾衰竭患者数量位居第二。慢性肾衰竭的发病率为每百万居民61例,且每年以10%至20%的速度增长。三分之一的慢性肾衰竭患者是肾移植受者,其余患者中,6%接受持续性非卧床腹膜透析治疗,6%接受家庭血液透析治疗,57%在透析中心或自行进行血液透析治疗。终末期慢性肾衰竭患者的平均治疗年龄为59岁。肾小球肾炎和慢性肾盂肾炎的作用似乎在减弱,但糖尿病肾病的发病率在过去十年中翻了一番。肾移植受者的平均年龄为45岁。由于器官短缺,近年来移植数量持续减少。慢性肾衰竭患者主要死于心血管疾病,估计导致死亡的恶性疾病发生率为10%。

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