/Stage 4 kidney disease transplant

Stage 4 kidney disease transplant

author:admin       pubdate:2017-08-08 15:30

All the chronic renal insufficiency to end-stage renal transplantation, were available. But in order to improve the survival rate of renal transplantation, the clinical selection of appropriate patients are more stringent, from the general condition, type of primary disease, age and other considerations.

Stage 4 kidney disease transplant

Generally speaking, kidney transplantation is the treatment of chronic renal insufficiency is the most ideal, so that the chronic renal insufficiency to end-stage renal transplantation, were available. But in order to improve the survival rate of renal transplantation, the clinical selection of appropriate patients are more stringent, from the general condition, type of primary disease, age and other considerations.Scr > 1326 mol/L (15mg/dL), Ccr < 5mL/min is a basis for kidney transplantation. From primary disease, the most common for the primary disease in renal transplant recipients is primary glomerulonephritis, followed by chronic pyelonephritis, interstitial and renal cystic disease. Although it is not the main index selection age but, in the 15 to 55 year-old young adults as well. Kidney transplantation is a healthy kidney implanted in the right lower quadrant of the iliac fossa. Because the blood vessels of the right iliac fossa is shallow, easy operation and renal vascular connection. More generally choose into the internal iliac artery Anastomosis, if arteries and right iliac artery lumen appeared within the lumen of small, postoperative fear of lack of blood flow, and can also be patient of external iliac artery for anastomosis, vascular anastomosis, blocking the release of all vascular forceps, wait for new renal blood supply is good, then sutured the abdominal wall, to complete the operation. The exchange of kidney transplantation is not new and old kidney kidney. Renal transplantation before nephrectomy must take the disease? The kidney transplant surgery only completed health kidney intraperitoneal implantation procedure is not in favor of transplantation before double nephrectomy, unless necessary. The necessary, refers to the original kidney disease continue to exist that will directly endanger the health of patients, or the further spread of disease. For example, severe renal tuberculosis, renal function itself has been lost, tuberculosis, but also to spread throughout; and as multiple calculi, with bacterial infection. Stubborn, Easily lead to sepsis, pyonephrosis, perirenal abscess and other life-threatening complications; in addition, there are huge renal tumors, polycystic kidney disease, a large number of hematuria, also consider renal resection, and renal transplantation after recovery, not two kinds of operation at the same time. In addition to the disease, are not in favor of treatment the original kidney.

 

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