中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
6期
88-89
,共2页
王健富%刘东%胡美仁%姚宇%蒙善东%吴家清%黎程%申升%朱春丽%郑克立
王健富%劉東%鬍美仁%姚宇%矇善東%吳傢清%黎程%申升%硃春麗%鄭剋立
왕건부%류동%호미인%요우%몽선동%오가청%려정%신승%주춘려%정극립
肾移植%肺部感染
腎移植%肺部感染
신이식%폐부감염
kidney transplant pulmonary infection
目的 探讨肾移植术后肺部感染发病特点、诊治及预防措施.方法 回顾性分析71例肾移植术后肺部感染患者临床资料.结果 71例患者中肺部感染发生于肾移植术后<4个月54例(76.06%),4-6个月12例(16.9%),>6个月5例(7.04%).临床表现均有发热,23例为固定时间发热,52例感胸闷,19例迅速进展出现急性呼吸紧迫综合征(ARDS),3例死亡.混合感染者36例,细菌感染16例,巨细胞病毒(HCMV)感染13例,结核感染2例,肺孢子虫感染1例,不明原因3例.结论 肾移植后肺部感染多为细菌为主的混合感染,病情进展迅速而危重,早期就诊,针对病原体合理抗菌治疗,及时调褴免疫治疗方案和加强综合治疗是治疗成功的关键.
目的 探討腎移植術後肺部感染髮病特點、診治及預防措施.方法 迴顧性分析71例腎移植術後肺部感染患者臨床資料.結果 71例患者中肺部感染髮生于腎移植術後<4箇月54例(76.06%),4-6箇月12例(16.9%),>6箇月5例(7.04%).臨床錶現均有髮熱,23例為固定時間髮熱,52例感胸悶,19例迅速進展齣現急性呼吸緊迫綜閤徵(ARDS),3例死亡.混閤感染者36例,細菌感染16例,巨細胞病毒(HCMV)感染13例,結覈感染2例,肺孢子蟲感染1例,不明原因3例.結論 腎移植後肺部感染多為細菌為主的混閤感染,病情進展迅速而危重,早期就診,針對病原體閤理抗菌治療,及時調襤免疫治療方案和加彊綜閤治療是治療成功的關鍵.
목적 탐토신이식술후폐부감염발병특점、진치급예방조시.방법 회고성분석71례신이식술후폐부감염환자림상자료.결과 71례환자중폐부감염발생우신이식술후<4개월54례(76.06%),4-6개월12례(16.9%),>6개월5례(7.04%).림상표현균유발열,23례위고정시간발열,52례감흉민,19례신속진전출현급성호흡긴박종합정(ARDS),3례사망.혼합감염자36례,세균감염16례,거세포병독(HCMV)감염13례,결핵감염2례,폐포자충감염1례,불명원인3례.결론 신이식후폐부감염다위세균위주적혼합감염,병정진전신속이위중,조기취진,침대병원체합리항균치료,급시조람면역치료방안화가강종합치료시치료성공적관건.
Objective To study the diagnosis, treatment and preventive measures of the pulmonary in-fection in the patients after kidney transplantation. Methods The clinical data of 71 cases with pulmonary in-fection following kidney transplantation were analyzed retrospectively. Results In 76. 06% (54/71) of patients the pulmonary infection occurred during 1～4 months after renal transplantation, 4-6 months, 12 cases (16.9%), >6 months,5 cases (7.04%). Pathogen was mainly cytomegalovirus and bacteria. Conclusion U-aually, the pulmonary infection after kidney transplantation were mixed infection of bacterium, progresses quickly and severely, early see a doctor, early diagnosis, Rational antibiotic therapy for pathogens ,Timely adjust immuno-suppression, providing combined therapy, are the key treatment strategies for a successful result.
