摘要
目的探讨肾移植术后肺部感染的病原体诊断,提高患者生存率。方法回顾性地分析2003年8月-2008年8月43例肾移植术后肺部感染患者临床资料。结果肾移植术后肺部感染的病原体主要有真菌(44.2%)、病毒(30.2%)、结核分枝杆菌(9.3%)和其他细菌(9.3%);出现时间一般在术后<6个月;曲霉菌属及卡氏肺囊虫性肺炎病死率高,分别为28.6%和16.7%。结论早期诊断及经验性治疗尤为重要,发病早期无特殊急重情况不建议联合治疗。
OBJECTIVE The discuss the pathogen diagnosis and management of pulmonary infection after renal transplantation to improve the patients survival rate after renal transplantation.METHODS A retrospective analysis was made on 43 cases of pulmonary infection after renal transplantation.RESULTS The main etiological microorganisms of pulmonary infection were fungi（44.2%）,virus（30.2%）,Mycobacterium tuberculosis（9.3%） and other bacteria（9.3%）,mainly emerged within 6 months 2 cases were with polyinfection.Aspergillus and Pneumocystis carinii pneumonia led to high mortality rate,28.6% and 16.7% respectively.CONCLUSIONS Early diagnosis and empirical therapy are very important.The diagnosis and active treatment contribute to decrease the fatal cases.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第23期3669-3671,共3页
Chinese Journal of Nosocomiology
基金
辽宁省教育厅高等学校科研项目(20060903)
关键词
肾移植
肺部感染
病原体
诊断
治疗
Kidney transplantation
Pulmonary infection
Pathogen
Diagnosis
Treatment
