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肾移植术后肺部感染的临床探讨
引用本文:马文江,孙益兰,王雪芬,俞爱凤,潘稚芬,周建英.肾移植术后肺部感染的临床探讨[J].浙江预防医学,2003,15(4):8-9.
作者姓名:马文江  孙益兰  王雪芬  俞爱凤  潘稚芬  周建英
作者单位:浙江大学医学院附属第一医院,浙江,杭州,310003
摘    要:目的:探讨肾移植术后肺部感染的防治。方法:对1123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:101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20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。

关 键 词:肾移植  肺部感染  病原菌  手术并发症  病原学诊断
文章编号:1007-0931(2003)04-0008-02
修稿时间:2002年6月21日

A Clinical Exploration on the Lung Infection after Renal Transplant
Ma Wenjiang,Sun Yilan,Wang Xuefen,et al..A Clinical Exploration on the Lung Infection after Renal Transplant[J].Zhejiang Journal of Preventive Medicine,2003,15(4):8-9.
Authors:Ma Wenjiang  Sun Yilan  Wang Xuefen  
Institution:Ma Wenjiang,Sun Yilan,Wang Xuefen,et al. The First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou,Zhejiang,310003,P. R. China
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.
Keywords:Renal transplant Pulmonary infection Pathogen
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