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肾移植术后长时间发热原因分析
引用本文: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.肾移植术后长时间发热原因分析[J].中国微创外科杂志,1999(1).
作者姓名: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
作者单位:解放军第309医院泌尿外科 100091 (李州利,石炳毅,梁春泉,蔡明,廖利民,钱叶勇,莫春柏,蒋志振),进修医师山西省芮城县人民医院外科 044600 (杨党劳),解放军第309医院泌尿外科 100091(常京元)
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。

关 键 词:肾移植  发热  感染

A study on the Causes of Continuous Fever after Renal Transplantation
Li Zhouli,Yang DangLao,Shi Bingyi,et al.A study on the Causes of Continuous Fever after Renal Transplantation[J].Chinese Journal of Minimally Invasive Surgery,1999(1).
Authors:Li Zhouli  Yang DangLao  Shi Bingyi  
Institution:Li Zhouli,Yang DangLao,Shi Bingyi,et al Department of Urology,309th Hospitital of PLA
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.
Keywords:Transplantation Kidney continuous Fever Infection
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