Objective To compare the effect of employment and unemployment on the quality of life and perceived social support in patients after kidney transplantation，and explore systematic health education contentsand methods. Methods 125 employed and 71 unemployed patients after kidney transplantation were evaluated in clinic with World Health Organization（WHO）Quality of Life instrument（WHOQOL-BREF）and perceived socialsupport scale（PSSS）questionnaire，and 93 and 71 valid questionnaires were retrieved in each group respectively. The results were statistically analyzed. Results The WHOQOL-BREF survey showed that the employed group hadbetter results in psychological，environmental and social domains than the unemployed group. The differences were statistically significant（all P ＜ 0.05）. PSSS results also showed statistically significant differences in the sum of extra-familial and social support between the two groups were found（both P ＜ 0.01）. Conclusions Employment after kidney transplantation is conducive for patients to win social support and quality of life. The transplant center should establish a comprehensive followup system to help patients'self-management，give them self-relianthealth education and subsequent care，satisfy patients'continuous physical and psychological needs and improve patients'psychologic adjustment ability and quality of life.

Objective To study the treatment of patients with acute respiratory distress syndrome（ARDS） caused by cytomegalovirus（CMV）pneumonia after renal transplantation. Methods A retrospective analysis of21 patients with ARDS caused by CMV pneumonia after renal transplantation in 4 years in the hospital was doneThe general situation，treatment and clinical outcomes were summarized and analyzed. All the 21 patients were treated with antiviral therapy，decreased the dosage of immunosuppressant，supported with active whole body supporttherapy，and applied with timely ventilation. Results In the 21 patients，the treatment of 16 cases was effectiveThree cases experience respiratory failure and died after active treatment. Two cases died after discharge not suggested by medical staff. The effective rate was 76.19%. All CMV antigen in peripheral blood turned negative after treatment. Of the 16 cases survived，12 cases experienced oliguria，serum creatinine（SCr）increased. Pulmonary function wasrecovered and SCr was gradually returned to normal along with the control of infection. The renal function of other4 cases remained normal. Conclusion CMV pneumonia accompanied ARDS should be treated by antiviral therapy，withdrawal of immuno-suppressant drugs，rebuild the body's immunity function，and timely application ofventilation, which are helpful to improve the successful remedy rate.

Objective To summarize the experience of clinical treatment in elderly patients after renal transplantation，and to evaluate its curative effect. Methods Forty-six cases of renaltransplantation patientsover the age of 60 admitted to the Third People's Hospital of Shanxi Datong from September 1998 to June 2010 were retrospectively analyzed. From 1998 to 2005，patients were treated with triple drug use（20 cases），prednisone（Pre），cyclosporineA（CsA）and mycophenolate mofetil（MMF）. From 2005 to 2010，patients were treated with triple drug use（26 cases），methylprednisolone（MP），tacrolimus（FK506）and MMF. Results In these 46 cases of geriatricrenal transplant patients，postoperative complications were happened in 12 cases（26.1%），pulmonary infection in 4 cases，urinary tract infection in 4 cases，upper respiratory tract infection in 3 cases，herpes virus infection in 1 case， acute rejection（AR）in 9 cases（19.6%），and 3 cases（6.5%）died of heart failure. Transplantation kidney and the patients were alive in the other 43 cases. During the follow-up，3 cases got chronic allograft nephropathy，2 of whom had experienced AR. Conclusions The patients over 60 years old can receive kidney transplantation successfully. The main reasons leading to death were cardiac complication and infection. The indication of recipients and using of immunosuppressive agent properly are the keys to prolong the survival time.

Objective To discuss retroperitoneal laparoscopic live donor nephrectomy. Methods Re troperitoneal laparoscopic live donor nephrectomy was performed in 50 cases of kidney transplantations which were offered by relatives，and then routine method was used to transplant the kidney to the recipients. The full process ofoperation was recorded carefully. Results Fifty procedures of laparoscopic live donor nephrectomy were completed successfully. The donors recovered soon after operation，and length of stay in hospital was shortened. Theoperative incision was small and there was no complication. Conclusion Be familiar with laparoscope device andinstrument，manipulating the laparoscope device and instrument perfectly and having a good cooperation with theoperator are the key points of success.

Objective To investigate the nocturia and its impact on the quality of life in the non-eldlymale patients after successful renal transplantation and to explore the related risk factors and causes which led tonocturia. Methods We designed a patient-completed questionnaire according to the characteristics of clinicalrecords，international prostate symptom score（IPSS）and quality of life score. We distributed the questionnairesand instructed them to fill in the meetingspot of kidney transplant friends. Results A total of 182 questionnaires were distributed and 120 were collected，only 90 cases meet the requirements of the study. The prevalence of nocturia（awakening at night twice or more to void）were 61 cases（67.8％）. Seventy-six cases（84.4％）of all patients were satisfied with the quality of life after renal transplantation. There was no statistically correlation betweenurine output before transplantation（24 hours），the total time of hemodialysis before operation，24 hours fluid intake now，the total time after operation and nocturia（all P ＞ 0.05）. Conclusions Nocturia was very prevalent in the non-eldly male patients after successful renal transplantation. This research demonstrated that nocturia may be caused by many risk factors interactions and did not bring an obvious adverse impact on the quality of life after successfulrenal transplantation．