Rao V K
Department of Medicine, University of Minnesota Medical School, Minneapolis, USA.
Surg Clin North Am. 1998 Feb;78(1):113-32. doi: 10.1016/s0039-6109(05)70638-1.
A variety of medical, surgical, social, and psychiatric problems affect the renal allograft rejection, thromboembolic disease, infectious events and gastrointestinal disorders. Hypertension and hyperlipidemia appear around 3 months and may remain throughout the posttransplant period. The late complication are atherosclerotic cardiovascular disease, malignancy hepatic failure, chronic rejection, denovo and recurrent renal disease, posttransplant diabetes, musculoskeletal problems, cataracts and skin lesions. Routine follow up of all transplanted patients at specialized centers is critical for early detection and management of these complications. Such practice would reduce the patient morbidity and mortality and lead to an improved long-term outcome.
多种医学、外科、社会及精神方面的问题会影响肾移植受者，包括移植肾排斥反应、血栓栓塞性疾病、感染性事件及胃肠道疾病。高血压和高脂血症大约在术后3个月出现，可能会持续整个移植后期。晚期并发症包括动脉粥样硬化性心血管疾病、恶性肿瘤、肝衰竭、慢性排斥反应、新发和复发性肾病、移植后糖尿病、肌肉骨骼问题、白内障及皮肤病变。在专科中心对所有移植患者进行常规随访，对于这些并发症的早期发现和管理至关重要。这种做法将降低患者的发病率和死亡率，并改善长期预后。
