<正> Objective: To explore the peculiarities of kidney transplantation in elderly patients and define the perioperative managements. Methods: The clinical data of kidney transplantation in 29 patients older than 65 years were reviewed

the eldest being 84 years old and the mean age 68.1 years. Results: Four episodes of a-cute rejection （13. 80%） were encountered. FK506 toxicity occurred in one case （3. 40%） and lung infection in another （3. 40%）

who （along with the former 4 patients） all were cured subsequently. In one case

the kidney graft was removed for thrombogenesis of the renal artery. The 1- and 3-year patients/grafts survival of 100% and 96. 5% respectively was achieved

with the longest survival exceeding 5 years. Conclusions; Old age was not the absolute contraindication for kidney transplantation. Strict observance of the indications of kidney transplantation and donor selection with well-matched tissue-typing are crucial in elderly patients. Adequate application of immunosuppressants and effect