肾移植术后特异性感染69例次分析

目的 探索肾移植术后感染发生的规律。方法 回顾分析我院８０８例次肾移植中各种感染的临床资料。结果 ８０８例次肾移植中发生各种感染１８０例次（２０．７％），死亡３５例（１９．４％），其中应用硫唑嘌呤和泼尼松者的感染发生率及死亡率较使用以环孢素Ａ为主的三联疗法者为高。已证实感染原的特异性感染６９例次。特异性感染的病原最常见者为病毒。结论 感染是肾移植后的常见并发症，正确调整免疫抑制剂剂量，及时病原诊断

Clinical analysis of special infection in 69 case-times after renal transplantation

Objective To investigate the rule of infection occurrence after renal transplantation. Methods Clinical data of various infections after renal transplantation in 808 casetimes in our hospital were retrospectively analyzed. Results 180 casetimes infections (20.7%) occurred in 808 casetimes renal transplantations with the mortality being 19.4%. The morbidity and mortality from infection were higher in recipients receiving administration of the traditional immunosuppressive drugs than cyclosporine A. Lung infection was the commonest and virus the most usual pathogen. Conclusion The infection was the common complication after transplantation. Correct immunosuppressant dosage, etiologic diagnosis in time and accurate application of antibiotic treatment were the keys of the treatment.