儿科医生对肾移植儿童的管理

Management of children after renal transplantation: highlights for general pediatricians

摘要:

近年来，由于肾移植成功儿童数量的不断增加，儿科医生在日常诊疗中遇到越来越多的肾移植患儿。尽管移植后最初的管理通常由移植团队完成，但在此之后这些儿童最终会回到自己所在社区门诊的儿科医生处就诊。尤其是对那些住所离移植中心很远的孩子，儿科医生的医疗管理至关重要。由于这些孩子需要长期的免疫抑制治疗，也更容易发生很多特殊的问题，因此儿科医生及基层医务人员必须了解且有能力进行移植后儿童的管理。本文列出了儿科医生需要掌握的同种异体肾移植儿童的管理规范及在临床上需要注意的相关问题。

Abstract:

The number of children undergoing successful renal transplantations has been increasing steadily and as a result, general pediatricians are now more likely to encounter children with a kidney allograft in their practice. Although the medical care immediately after transplantation is mostly provided by transplant teams, more and more outpatient care will eventually be performed at the patient's local community. Medical care from general pediatricians is particularly important, especially for children who are residing far from transplant centers. As these children require prolong immunosuppressive therapies and are susceptible to various specific clinical problems, it is imperative for their primary care providers and pediatricians to be knowledgeable about their specific needs and be competent in providing care. This article highlights the roles and common practice related issues that pertain to general pediatricians in the care of pediatric renal allograft recipients.