论文部分内容阅读
目的 分析讨论肾移植术后肺部感染的原因、诊断及治疗。方法 回顾总结解放军总医院 1977～ 1999年 10 39例 (1180次 )肾移植患者中所发生的 80例肺部感染。其中男 5 1例 ,女 2 8例 ,平均年龄 37 4岁。对肾移植患者术后并发肺部感染的临床表现、诊断与治疗进行分析。结果 80例肾移植术后肺部感染患者有细菌感染的 35例 ,结核感染 9例 ,CMV感染 6例 ,真菌感染 2例 ,病原不清楚者 1例 ,混合性感染 2 7例。治疗后 4 6例 (5 7 5 % )获得痊愈 ,而其余 34例 (42 5 % )直接死于肺部感染。结论 肺部感染是危及肾移植患者生命及移植肾功能的严重并发症 ,应早期明确诊断及时治疗。
Objective To analyze the causes, diagnosis and treatment of pulmonary infection after renal transplantation. Methods A retrospective review was made on 80 cases of lung infections in 1039 renal transplant recipients in the PLA General Hospital from 1977 to 1999. There were 51 males and 28 females, with an average age of 374 years. The clinical manifestations, diagnosis and treatment of postoperative pulmonary infection in renal transplant patients were analyzed. Results 35 cases of bacterial infection, 9 cases of tuberculosis infection, 6 cases of CMV infection, 2 cases of fungal infection, 1 case of unclear pathogen and 27 cases of mixed infection were found in 80 cases of lung infection after renal transplantation. After treatment, 46 cases (57.5%) were cured, while the remaining 34 cases (42.5%) died of pulmonary infection directly. Conclusions Pulmonary infection is a serious complication of life and renal function of renal transplant patients. It should be diagnosed and treated promptly in early stage.