| 肝移植后肺部细菌合并真菌感染的诊治 |
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| 引用本文： | 许坚吉,曾仲,段键,黄汉飞,林杰,徐王刚.肝移植后肺部细菌合并真菌感染的诊治[J].中国组织工程研究与临床康复,2011,15(44). |
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| 作者姓名： | 许坚吉 曾仲 段键 黄汉飞 林杰 徐王刚 |
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| 作者单位： | 昆明医学院第一附属医院器官移植中心,云南省昆明市,650032 |
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| 基金项目： | 云南省自然科学基金资助项目(2007C137M); 云南省科技厅联合基金资助项目(2007C0009R); 云南省社会发展科技计划基金资助项目(2008CA026)~~ |
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| 摘 要： | 背景:肝移植患者因常规服用免疫抑制剂,免疫力低下,极易发生肺部病原微生物感染.目的:回顾分析1例肝移植后突发肺部细菌联合真菌感染患者诊疗经过,总结相关临床治疗经验.方法:1例乙肝肝硬化失代偿期女性患者行同种异体原位肝移植后8个月余突发畏寒高热入院,经实验室检查结合胸部CT检测考虑为细菌引起的肺部感染,给予头孢哌酮钠舒巴坦钠抗菌治疗.结果与结论:治疗后临床症状缓解.1周后复查胸部CT提示:双肺下叶片状渗出较前有所吸收,但背段出现片状"毛玻璃样改变",考虑合并真菌感染,停用头孢哌酮钠舒巴坦钠,改用氟康唑针,治疗1周后行胸部CT:双肺下叶背段渗出较前吸收,出院继续口服氟康唑10d,复查CT:双肺渗出性改变完全吸收.
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| 关 键 词： | 肺炎 肝移植 细菌真菌 感染 |
Diagnosis and treatment of bacterial and fungal pneumonia following liver transplantation |
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| Xu Jian-ji,Zeng Zhong,Duan Jian,Huang Han-fei,Lin Jie,Xu Wang-gang.Diagnosis and treatment of bacterial and fungal pneumonia following liver transplantation[J].Journal of Clinical Rehabilitative Tissue Engineering Research,2011,15(44). |
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| Authors: | Xu Jian-ji Zeng Zhong Duan Jian Huang Han-fei Lin Jie Xu Wang-gang |
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| Institution: | Xu Jian-ji,Zeng Zhong,Duan Jian,Huang Han-fei,Lin Jie,Xu Wang-gang Organ Transplantation Center,First Affiliated Hospital of Kunming Medical College,Kunming 650032,Yunan Province,China |
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| Abstract: | BACKGROUND: Liver transplant patients prone to lung infections of pathogenic microorganismsdue due to low immunity caused by taking routinei mmunosuppressive drugs. OBJECTIVE: To retrospectively analyze the diagnosis and treatment of one patient with bacterial combined with fungal pulmonary infection after orthotopic liver transplantation, and summarize the clinical treatment experience. METHODS: The female patient with hepatic B cirrhosis decompensation was admitted for fever, chilly, cough and dyspnea at ... |
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