It is particular important to conduct preoperative preparation , perioperative anesthesia and monitoring , the prevention and treatment of the postoperative complications , and the monitoring of the toxic and side effects of immunosuppressive agent , etc . . the postoperative complications , especially lung infection , are the main dead factors for advanced age crf patients receiving kidney transplantation 结论高龄并非肾移植的绝对禁忌证;高龄患者耐受力差,常伴随其它疾病,术前准备、术中麻醉及监测、术后并发症的防治、免疫抑制剂毒副作用的监测尤为重要;术后并发症,尤其是肺部感染是高龄患者的主要死亡原因。