肾移植术后并发肺部感染10例  

Diagnosis and treatment of pulmonary infection after kidney transplantation:report of 10 cases

作　　者：滕琳[1] 刘婷[1] 李美香[2] 吴立平[1] 甄永强[1] 

机构地区：[1]山东省潍坊市人民医院呼吸科,261041 [2]山东省威海市人民医院呼吸科

出　　处：《中国感染与化疗杂志》2010年第4期270-272,共3页Chinese Journal of Infection and Chemotherapy

摘　　要：目的探讨肾移植患者术后肺部感染病例的病原体分布与救治措施以提高治愈率。方法对10例肾移植术后并发肺部感染患者的临床资料进行回顾性分析。结果病原体分布:单纯细菌2例,巨细胞病毒3例,混合感染4例,未能明确病原体1例。6例救治成功,4例死亡。结论肾移植患者术后合并肺部感染病情危重,病死率高,可靠的病原学诊断、及时有效的综合治疗是提高治愈率的关键。Objective To analyze the pathogens and therapies of pulmonary infection in kidney transplantation recipients.Methods The clinical data of 10 patients with pulmonary infection were analyzed retrospectively.Results The pathogens identified in our laboratory included bacterium alone in 2 patients,cytomegalovirus (CMV) in 3 patients,and mixed infection in 4 patients.The treatment was successful in 6 patients.Four patients died finally.Conclusions Kidney transplantation recipients with pulmonary infection are vulnerable with high mortality rate.The accurate etiological diagnosis plus effective combination therapy would improve the cure rate of pulmonary infection in such patients.

关 键 词：肾移植 肺部感染 病原体 治疗 

分 类 号：R563.1[医药卫生—呼吸系统]