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探讨肾移植术后肺部巨细胞病毒感染的诊断与治疗
引用本文:瞿连喜,陈波,马良宏,丁强,王继功. 探讨肾移植术后肺部巨细胞病毒感染的诊断与治疗[J]. 复旦学报(医学版), 2005, 32(2): 229-230,242
作者姓名:瞿连喜  陈波  马良宏  丁强  王继功
作者单位:复旦大学附属华山医院泌尿外科,上海,200040;复旦大学附属华山医院泌尿外科,上海,200040;复旦大学附属华山医院泌尿外科,上海,200040;复旦大学附属华山医院泌尿外科,上海,200040;复旦大学附属华山医院泌尿外科,上海,200040
摘    要:目的探讨肾移植术后肺部巨细胞病毒(CMV)感染的临床特点及治疗对策。方法回顾总结本院18例肾移植术后肺部CMV感染临床资料。结果18例肾移植术后肺部CMV感染病人经更昔洛韦为主的综合治疗治愈16例,死亡2例。结论对肾移植术后肺部CMV感染应该尽早诊断,及时应用以更昔洛韦为主的综合治疗。

关 键 词:肾移植  巨细胞病毒  更昔洛韦
修稿时间:2004-04-15

Diagnosis and Treatment of Cytomegalovirus Pneumonitis Following Renal Transplantation
QU Lian-xi,CHEN Bo,MA Liang-hong,DING Qiang,WANG Ji-gong. Diagnosis and Treatment of Cytomegalovirus Pneumonitis Following Renal Transplantation[J]. Fudan University Journal of Medical Sciences, 2005, 32(2): 229-230,242
Authors:QU Lian-xi  CHEN Bo  MA Liang-hong  DING Qiang  WANG Ji-gong
Abstract:Purpose To investigate the clinical character and treatment of cytomegalovirus(CMV) pneumonitis offer renal transplantation. Methods Eighteen renal transplant recipients were diagnosed as ha-ving CMV pneumonitis by the detection of CMV-IgM and(or)CMV-DNA in the peripheral blood in combination with the clinical symptoms and chest X-ray.The treatments included the administration of Ganciclovir,prevention and treatments of superinfection,improvement of nutrition and used respriator as early as possible. Results Totall 16 out of 18 was cured and 2 finally died. Conclusions Early diagnosis and administration of Ganciclovir as treatments are effective for the CMV pneumonitis following renal transplantation.
Keywords:renal transplantation  cytomegalovirus  ganciclovir
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