CAJ | 학술논문

目的：探讨肾脏疾病免疫抑制剂治疗后巨细胞病毒( cMV)肺炎的急诊救治方法。方法选取我院肾内科2012年-2013年63例肾病综合征免疫抑制剂治疗后继发巨细胞病毒( cMV)肺炎患者,给予相关抗病毒药物治疗并给予对症支持处理；其中35例患者给予球蛋白肌注治疗,观察治疗效果。结果63例患者中总治愈率为41.03%,死亡6例(9.52%)。两组患者治疗有效率比较差异有统计学意义,P<0．05。治愈患者出院后肾功能恢复正常。结论对于肾脏免疫抑制剂治疗后并发的巨细胞病毒肺炎患者应给予抗病毒治疗、调整免疫抑制剂以及辅助呼吸等综合治疗。
목적：탐토신장질병면역억제제치료후거세포병독( cMV)폐염적급진구치방법。방법선취아원신내과2012년-2013년63례신병종합정면역억제제치료후계발거세포병독( cMV)폐염환자,급여상관항병독약물치료병급여대증지지처리；기중35례환자급여구단백기주치료,관찰치료효과。결과63례환자중총치유솔위41.03%,사망6례(9.52%)。량조환자치료유효솔비교차이유통계학의의,P<0．05。치유환자출원후신공능회복정상。결론대우신장면역억제제치료후병발적거세포병독폐염환자응급여항병독치료、조정면역억제제이급보조호흡등종합치료。
Objective To study the emergency treatment of cytomegalovirus ( cMV) pneumonia secondary to renal disease after immunosuppression. Methods 63 patients with nephrotic syndrome immunosuppressant secondary cytomegalovirus ( cMV) pneumonia were selected to giveantiviral drugs and related supportive treatment, and 35 of them were additionally treated with globulin intramuscular injection. Results The total cure rate was 41. 03%, and 6 cases of death reported (9. 52%). The total effective rate showed significant differences between the two groups (P<0. 05 ) . Their renal function returned to normal after discharge. Conclusion Patients with cytomegalovirus ( cMV) pneumonia secondary to renal disease after immunosuppression should be given antiviral treatment, adjust the immune inhibitors and assist breathing comprehensive treatment.