肾移植术后肺部感染的诊疗

目的 探讨肾移植术后肺部感染发病特点及有效的临床诊疗措施.方法 对我院2012年1月至2016年2月49例肾移植术后发生肺部感染患者的临床资料进行回顾性分析.结果 49例肾移植术后肺部感染的患者中,细菌感染者22例,真菌感染者18例,病毒感染者7例,支原体、衣原体感染者各1例.其中31例发生于术后半年以内,28例为混合感染.住院治疗后46例康复出院,3例因重度肺部感染死亡.结论 肾移植术后肺部感染发生率和病死率高,在明确感染病原体之前可采用经验性抗感染治疗,待培养和药敏试验结果出来时及时选择有效的治疗药物.

Diagnosis and treatment of pulmonary infection after kidney transplantation

Objective To investigate the characteristics of pulmonary infection in patients after kidney transplantation and to explore the effective methods of diagnosis and treatment.Methods Retrospective analysis the clinical data of 49 patients with pulmonary infection after kidney transplantation from January 2012 to February 2016 in our hospital.Results In forty-nine cases of pulmonary infection after renal transplantation,there were 22 cases of bacterial infection,18 cases of fungal infection,7 cases of virus infection,1 case of mycoplasma infection,and 1 case of chlamydia infection.Among the 49 cases,31 cases of pulmonary infection occurred in half a year.28 cases were mixed infection.Finally,46 cases rehabilitation discharge,3 cases died due to severe pulmonary infection.Conclusions Pulmonary infection rate and mortality is high after kidney transplantation.Before clear infection pathogens,enough broad spectrum antibiotics combined with other medication should be used in time.