Balzar E, Weissenbacher G
Wien Klin Wochenschr. 1977 Oct 28;89(20):706-10.
Long term hemodialysis and kidney transplantation has proved to be a very efficient method in the treatment of renal failure in childhood. Accordingly, the number of children treated by dialysis and transplantation in Europe is still increasing. At this time more than 1250 have been treated. As a result of recent studies, one to two children under the age of 15 years per one million population per one year reach the terminal stage of renal insufficiency. We performed our own informative study in 1975 to estimate the needs for dialysis facilities in Austria. Our results are in line with those of other projects. In view of the special childhood problems (growth, puberty, psychological problems, schooling etc.) there is a need for specialized pediatric centers which should include the facilities for nephrologic out- and in-patient treatment, a dialysis team consisting of a pediatrician, pediatric nurses, teacher, child psychologist, dietician and social worker. These enormous investments in apparature, personnel and organization are justified by the good results of survival and the reasonably normal life these children can lead.
长期血液透析和肾移植已被证明是治疗儿童肾衰竭的一种非常有效的方法。因此，欧洲接受透析和移植治疗的儿童数量仍在增加。目前，接受治疗的儿童已超过1250名。近期研究结果显示，每百万人口中每年有1至2名15岁以下儿童会发展到肾功能不全终末期。1975年我们开展了自己的信息研究，以评估奥地利对透析设施的需求。我们的结果与其他项目的结果一致。鉴于儿童存在的特殊问题（生长发育、青春期、心理问题、上学等），需要有专门的儿科中心，其中应包括肾病门诊和住院治疗设施，以及一个由儿科医生、儿科护士、教师、儿童心理学家、营养师和社会工作者组成的透析团队。这些在设备、人员和组织方面的巨大投入，因其能带来良好的生存结果以及这些儿童能够过上相对正常的生活而具有合理性。
