摘要
肾移植作为治愈终末期肾病的终极手段,挽救了许多患者的生命。但由于需要肾源的患者数量巨大,而供体却十分短缺,很多患者在等待肾源的过程中去世。为了扩大供体池,为更多尿毒症患者带来重生的希望,一些移植中心开始采用扩大标准供体(ECD)。老龄活体供肾的临床效果基本可以和标准供肾相媲美,而心死亡ECD供肾的临床效果却不尽人意。但只要仔细评估供体、合理选择受体,心死亡ECD供肾仍然会对需要的患者起到相应的效果。
Renal transplantation as the ultimate means of curing end-stage renal disease, has saved lives of many patients. But due to the huge demand and the limited donors, many patients died in the process of waiting for a kidney. In order to expand the donor pool and bring more uremic patients the hope of rebirth, some transplant centers began to adopt the expanded criteria for donors. The clinical effects of the elderly kidney donor can compare with the standard donor,but the clinical effects of the ECD kidneys after heart death are not satisfactory. If we assess the donors carefully and choose the reasonable receptors, ECD kidneys after heart death can still serve the needing patients.
出处
《医学综述》
2016年第24期4859-4862,共4页
Medical Recapitulate
关键词
肾移植
老龄供体
活体亲属供体
扩大标准供体
Kidney transplantation
Elder donor
Living related donor
Donor of expanded criteria
