肾移植术后并发结核病的临床分析  

A clinical study of the dagnosis and treatment of tuberculosis following kidney transplantation

作　　者：王立华[1] 魏兆龙[2] 

机构地区：[1]山东省胸科医院,山东济南250013 [2]济南市中心医院,山东济南250013

出　　处：《中国医疗前沿（学术版）》2008年第2期16-17,共2页China Healthcare Innovation

摘　　要：目的总结肾移植术后并发结核病的临床症状、诊断和治疗。方法对9例该类患者进行回顾性分析、总结。根据患者的临床表现、实验室检查、胸片及胸部CT、抗结核治疗的阳性反应明确诊断,并规律、联合、适量、全程应用抗结核药物。结果8例结核病好转,1例死亡。结论肾移植术后长期大量应用免疫抑制剂,至机体免疫功能受损、低下,极易并发结核病。对肾移植术后出现不明原因的发热,抗感染治疗5-7天症状无缓解时,即使无微生物和/或病理的依据,也应高度怀疑结核感染,应尽早应用抗结核药物治疗。Objective To study the clinical manifestations, Diagnosis and treatment of tuberculosis following kidney transplantation.Methods Retrospectively analyzed the diagnosis and treatment of 9 tuberculosis patients after kidney transplantation.The diagnosis of tuberculosis was based on the clinical informations, laboratory results, chest X-ray and/or chest CT examination, positive response to specific antituberculosis.Results Eight cases recovered and still preserved their graft function, one case died. Conclusio...

关 键 词：肾移植 结核 并发症 诊断 治疗 

分 类 号：R699.2[医药卫生—泌尿科学]