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肾移植术后长时间发热原因分析

A study on the Causes of Continuous Fever after Renal Transplantation

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【作者】 李州利杨党劳石炳毅梁春泉蔡明廖利民钱叶勇莫春柏蒋志振常京元

【Author】 Li Zhouli, Yang DangLao, Shi Bingyi, et al Department of Urology, 309th Hospitital of PLA(Beijing, 100091)

【机构】 解放军第309医院泌尿外科进修医师山西省芮城县人民医院外科解放军第309医院泌尿外科 100091044600100091100091

【摘要】 分析肾移植术后24例长时间发热病例资料,并结合国内外文献对此类患者的发病特点,诊断及治疗体会进行了探讨,认为肾移植术后长时间发热与激素冲击治疗。CsA浓度过高及粒细胞下降有关;感染主要发生在肾移植术后早期(1个月内)及中期(1—6个月),机会感染的发生率较高,CMV感染应引起重视;对肾移植术后长时间发热的病例检查手段应全面,对病因不明的病例应采用多种抗生素联合治疗。

【Abstract】 the character, diagnosis and treatment in contineous postoperative fever from 24 patients with renal transplantation were studied. The results showed that the fever was related to the use of fluco-corticoid, the high CsA blood levels and leukopenia. The infectious diseases occurred mainly in the early phase (1 month) and medium phese (1 -6months). There was a higher incidence of opportunistic infection. Tuberculosis and cytomegalovirus infection were important in this kind of patients. The complete examinations for the patients with continuous fever and the combining multi - antibiotic treatment for the patients without a certain cause should be administered.

【关键词】 肾移植发热感染
【Key words】 Transplantation Kidney continuous Fever Infection
  • 【分类号】R699.2
  • 【下载频次】73
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