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肾移植术后肺部感染的临床探讨

A Clinical Exploration on the Lung Infection after Renal Transplan

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【作者】 马文江孙益兰王雪芬俞爱凤潘稚芬周建英

【Author】 Ma Wenjiang, Sun Yilan, Wang Xuefen, et al. The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, 310003, P. R. China

【机构】 浙江大学医学院附属第一医院浙江大学医学院附属第一医院 浙江杭州310003浙江杭州310003浙江杭州310003进修生

【摘要】 目的 探讨肾移植术后肺部感染的防治。方法 对 112 3例肾移植术后并发肺部感染的 110例患者的临床资料进行回顾性分析。结果  10 1例肺部感染临床治愈 ,11例ARDS中抢救成功 2例 ,死亡 9例。病原菌分布 :细菌感染 69例 (63 % ) ,巨细胞病毒 (CMV)感染 2 0例 (18% ) ,真菌感染 16例 (15 % ) ,结核菌感染 8例(7% ) ,病原菌不明 9例 (8% )。结论 细菌是肾移植术后肺部感染的主要致病菌 ;早期作出病原学诊断是治疗肾移植术后肺部感染的关键。

【Abstract】 Objective To explore the prevention and treatment of the pulmonary infection after renal transplant. Methods A retrospective analysis was carried out in 110 cases with pulmonary infection after renal transplant.Results 101 cases had been cured, and 2 cases survived and 9 cases died in 11 patients with ARDS. The infection including 69 cases by germs, 20 cases by cytomegalovirus, 16 cases by fungus and 8 cases by tuberculosis. The proportion rates were 63%, 18%, 15% and 7% respectively. Conclusions Bacteria is the major pathogen in post-renal transplant infection. An early etiological diagnosis is necessary for the treatment of pulmonary infection after renal transplant.

  • 【文献出处】 浙江预防医学 ,Zhejiang Journal of Preventive Medicine , 编辑部邮箱 ,2003年04期
  • 【分类号】R699.2
  • 【被引频次】12
  • 【下载频次】82
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