Causes of death after kidney transplantation.

Causes of death after kidney transplantation.
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肾移植后的死亡原因。

DOI:
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发表时间:
1983
期刊:
Journal of the American Medical Association (JAMA)
影响因子:
--
通讯作者:
R. Weil
R. Weil
中科院分区:
--
文献类型:
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作者:
G. Washer;G. Schröter;T. Starzl;R. Weil

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从1974年9月到1979年8月的五年间,连续299名患者在丹佛接受了他们的第一次肾脏移植。在2.5~7.5年的随访期中,54名患者(26%)死亡。感染是所有时段的主要死亡原因,在54例死亡中有22例(41%)是感染造成的。肺炎在22例感染死亡病例中有14例是主要原因。其他死因是心血管疾病11例(20%),自杀8例(15%),胃肠道问题7例(13%),恶性肿瘤2例(4%),其他问题4例(7%)。54例死亡中有26例(48%)发生在初次移植后一年以上;这26例患者中有12例已经回到慢性血液透析。为了将移植后的死亡率降至最低,患者及其医生必须对这些患者面临的持续风险保持警惕,包括因感染、心肌梗死、肺血栓、自杀或胃肠道穿孔而猝死的风险。
During the five-year period September 1974 through August 1979, two hundred nine consecutive patients received their first kidney transplant in Denver. During 2.5 to 7.5 years of follow-up, 54 patients (26%) died. Infection was the leading cause of death during all intervals and was responsible for 22 (41%) of the 54 deaths. Pneumonia was primarily responsible for 14 of the 22 deaths from infection. The other causes of death were cardiovascular problems in 11 patients (20%), suicide in eight patients (15%), gastrointestinal (GI) tract problems in seven patients (13%), malignant neoplasms in two patients (4%), and miscellaneous problems in four patients (7%). Twenty-six (48%) of the 54 deaths occurred more than one year after primary transplantation; 12 of these 26 patients had already returned to chronic hemodialysis. To minimize mortality after transplantation, patients and their physicians must remain alert to the ongoing risks to which these patients are exposed, including the risks of sudden death from infection, myocardial infarction, pulmonary embolus, suicide, or GI tract perforation.
截肢与非截肢糖尿病原发肾同种异体移植受者的患者和移植物存活率。
DOI: 10.1097/00007890-198112000-00010
发表时间: 1981
期刊: Transplantation
影响因子: 6.2
作者:
Peters,C;Sutherland,DE;Simmons,RL;Fryd,DS;Najarian,JS
通讯作者: Najarian,JS
DOI: --
发表时间: 1981
期刊: Surgery, gynecology & obstetrics
影响因子: --
作者:
Starzl,TE;Klintmalm,GB;Iwatsuki,S;Weil3rd,R
通讯作者: Weil3rd,R
DOI: --
发表时间: 1981
期刊: Surgery
影响因子: 3.8
作者:
Hanto,DW;Sakamoto,K;Purtilo,DT;Simmons,RL;Najarian,JS
通讯作者: Najarian,JS