| 肾移植术后肺部感染的病原体分析与诊治 |
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| 引用本文： | 李静波,吴刚,张静萍,陈佰义. 肾移植术后肺部感染的病原体分析与诊治[J]. 中华医院感染学杂志, 2010, 20(23) |
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| 作者姓名： | 李静波 吴刚 张静萍 陈佰义 |
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| 作者单位： | 中国医科大学附属第一医院感染科;中国医科大学附属第一医院移植科; |
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| 基金项目： | 辽宁省教育厅高等学校科研项目 |
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| 摘 要： | 目的 探讨肾移植术后肺部感染的病原体诊断,提高患者生存率.方法 回顾性地分析2003年8月-2008年8月43例肾移植术后肺部感染患者临床资料.结果 肾移植术后肺部感染的病原体主要有真菌(44.2%)、病毒(30.2%)、结核分枝杆菌(9.3%)和其他细菌(9.3%);出现时间一般在术后<6个月;曲霉菌属及卡氏肺囊虫性肺炎病死率高,分别为28.6%和16.7%.结论 早期诊断及经验性治疗尤为重要,发病早期无特殊急重情况不建议联合治疗.
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| 关 键 词： | 肾移植 肺部感染 病原体 诊断 治疗 |
Pathogen Diagnosis and Management of Pulmonary Infection after Renal Transplantation |
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| LI Jing-bo,WU Gang,ZHANG Jing-ping,CHEN Bai-yi. Pathogen Diagnosis and Management of Pulmonary Infection after Renal Transplantation[J]. Chinese Journal of Nosocomiology, 2010, 20(23) |
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| Authors: | LI Jing-bo WU Gang ZHANG Jing-ping CHEN Bai-yi |
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| Affiliation: | LI Jing-bo,WU Gang,ZHANG Jing-ping,CHEN Bai-yi(The First Afiliated Hospital,China Medical University,Shenyang,Liaoning 110001,China) |
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| Abstract: | OBJECTIVE The discuss the pathogen diagnosis and management of pulmonary infection after renal transplantation to improve the patients survival rate after renal transplantation.METHODS A retrospective analysis was made on 43 cases of pulmonary infection after renal transplantation.RESULTS The main etiological microorganisms of pulmonary infection were fungi(44.2%),virus(30.2%),Mycobacterium tuberculosis(9.3%) and other bacteria(9.3%),mainly emerged within 6 months 2 cases were with polyinfection.Aspergillus... |
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| Keywords: | Kidney transplantation Pulmonary infection Pathogen Diagnosis Treatment |
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