Elderly patients with allogenic kidney transplantation care.docVIP

 PAGE \* MERGEFORMAT 8 Elderly patients with allogenic kidney transplantation care With the kidney transplant safety improvement and progress in perioperative management of kidney transplant surgery on the age limit reduced gradually. Since 1991, our hospital received more than 55 years of age the number of renal transplant patients increased year by year, nursing this proves successful, now nursing experience reported as follows: A clinical data Since January 1991 to December 2001 received a cadaveric renal allograft transplantation 36 cases of elderly patients, including 28 males and 8 females; enlargement of the heart, cardiothoracic ratio “of 0.5 or 31 cases, accounting for 85%; pulmonary congestion 16 cases, accounting for 44%; eight cases of cardiac rhythm disorders, accounting for 20%; pericardial effusion in 10 cases, accounting for 27%; one cases of diabetic nephropathy, accounting for 0.2%. 2 Results 2.1 Vesting of complications The preoperative cardiothoracic ratio “of 0.5 in 31 cases, the February review cardiothoracic ratio were reduced to varying degrees, cardiothoracic ratio less than 0.5 in 29 cases (93%). Pulmonary congestion, pericardial effusion, cardiac rhythm disorders in patients discharged from the hospital cured. Discharge in patients with diabetic nephropathy urine returned to normal. The success rate of 2.2 This group of patients discharged from hospital 36 cases of renal functions were normal. 3 Care 3.1 According to the physiological characteristics of elderly patients with nursing With increasing age, the body of the system, organ function gradually decreased, the main organ of metabolism and body reserve capacity and nutritional status of the gradual decline in the “surgical attack” in response and processing power are reduced. Therefore, elderly patients before surgery should be adequate preoperative preparation, in-depth history of the wards asked detailed, ca