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为预防肾移植受者术后并发结核病,提高诊治结核病的水平,报告8例肾移植术后并发结核病患者,并结合国内外义献对此类患者结核病的发病特点、诊断与防治体会进行了探讨,认为肾移植患者具有免疫力低下、症状不典型、肺外结核多、易于全身播散、多重感染率高、肝脏负担重等临床特点.PCR、涂片抗酸染色、结核菌素试验及X线检是诊断结核病的重要手段,采用短程化疗法及预防多耐药性结核杆菌对防治肾移植术后并发结核病极其重要.
In order to prevent postoperative tuberculosis complicated by renal transplant recipients and to improve the diagnosis and treatment of tuberculosis, 8 patients with tuberculosis after renal transplantation were reported, and the incidence, diagnosis and prevention and treatment of tuberculosis in these patients were also discussed , That kidney transplant patients with low immunity, atypical symptoms, extrapulmonary tuberculosis, easy to spread throughout the body, multiple infection rates, liver burden and other clinical features.PCR, smear acid stain, tuberculin test and X Line inspection is an important means of diagnosis of tuberculosis. The use of short-course chemotherapy and prevention of multi-drug resistant Mycobacterium tuberculosis is extremely important for the prevention and treatment of tuberculosis after kidney transplantation.