小児慢性腎不全診療の歩みと現況 : もう大丈夫だ,こどもの腎臓病

概要

論文の詳細を見る
Recent advances in managements of renal failure in pediatric patients are remarkable. Dialysis can be performed in children at any age from newborn to adolescent period. In newborn, infants and preschool children, hemodialysis has some difficulties in technical problems associated with vascular access and hemodynamic instability. By contrast, since peritoneal dialysis is simple, efficient, and easy to perform, it does not require highly sophisticated equipment or personnel. For successful dialysis, appropriate sizes of catheters, tubings, dialysers, small volume dialysate bags, and etc, are required. Renal transplantation offers the best renal replacement therapy for children with end stage renal disease, which results in their proper growth, neurodevelopment and better quality of life. Advances in organ retrieval and preservation, improved surgical techniques, newer immunosuppressive drugs and prevention and treatment of infections have significantly improved patient and graft survival. Now, our target of managements for children with chronic renal failure is to bring up them healthy in mind as well as body. Multi-disciplinary team of experts including specially trained pediatric nephrologists, urologists, surgeons, nurses, dieticians, technicians and social workers is needed for systematic lifelong planning for children with chronic renal failure.
東京女子医科大学の論文