儿童肾移植的多学科综合治疗策略

Multidisciplinary comprehensive treatment strategies for pediatric kidney transplantation

  • 摘要: 儿童肾移植作为终末期肾病患儿的主要治疗手段,不仅关乎生命的延续,更对患儿的生长发育、心理健康与社会适应产生深远影响。由于儿童在生理、免疫与药物代谢等方面的特殊性,儿童肾移植需要采取多学科综合治疗策略,以保障移植的成功和长期生存质量。因此,文章从儿童肾移植受者的特殊性、多学科协作的构成及全程化管理策略方面详细阐述儿童肾移植的多学科协作模式,涉及移植外科、小儿肾内科、遗传学、病理学、麻醉学、心理学、营养学等多个领域的紧密合作,涵盖从术前评估、手术管理到术后长期随访的全程管理,以期为改善儿童肾移植受者的预后提供参考。

     

    Abstract: As the primary therapy for children with end-stage renal disease, kidney transplantation not only extends life but also profoundly affects growth, psychosocial development and long-term social integration. Due to the unique physiological, immune and drug metabolism characteristics of children, a multidisciplinary treatment strategy is required for pediatric kidney transplantation to ensure the success of transplantation and long-term quality of life. Therefore, the article elaborates in detail on the multidisciplinary collaboration model of pediatric kidney transplantation from the perspectives of the particularity of pediatric kidney transplant recipients, the composition of multidisciplinary collaboration and comprehensive management strategies. It involves close cooperation in multiple fields such as transplant surgery, pediatric nephrology, genetics, pathology, anesthesiology, psychology and nutrition, covering the entire management process from preoperative evaluation, surgical management to long-term postoperative follow-up, in order to provide reference for improving the prognosis of pediatric kidney transplant recipients.

     

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