肾移植术后并发重症肺炎27例临床分析  

Clinical Analysis of 27 Patients with Severe Pneumonia Following Renal Transplantation

作　　者：胡振红[1] 彭琪琳[2] 傅祖红[1] 毛梅[1] 司斌[1] 刘志遐[1] 

机构地区：[1]广州军区武汉总医院呼吸内科,湖北武汉430070 [2]广州军区联勤部武珞路干休所

出　　处：《中国医师杂志》2005年第9期1178-1179,共2页Journal of Chinese Physician

摘　　要：目的探讨肾移植术后并发重症肺炎的临床特点及救治措施。方法对27例肾移植术后并发重症肺炎的临床资料进行回顾性分析。结果肾移植术后并发重症肺炎具有发病早、进展迅速、多种病原体混合感染等特点。22例(81.5%)患者救治成功,死亡5例。结论对于肾移植术后并发重症肺炎的患者应密切观察,积极救治。合理使用广谱抗菌素、呼吸支持及联合治疗措施是救治成功的关键。Objective To explore the clinical features and treatment measures of the severe pneumonia in renal transplantation patients. Methods The clinical data of 27 patients with severe pneumonia following renal transplantation was retrospectively analyzed. Results The severe pneumonia in renal transplantation patients had the features such as earher occurrence, speedy development and mixed infection of multi-bacteria. Twenty-two cases out of 27 patients （81.5%） were rescued successfully, and five cases died. Conclusion The patients with severe pneumonia following renal transplantation should be intensively observed and actively treated. The reasonable application of broad-spectrum antibiotics, breathing sustain and combined measures are the key points of successfid treatment.

关 键 词：肾移植 感染 肺炎 重症肺炎 术后并发 临床分析 病原体混合感染 救治措施 救治成功 回顾性分析 

分 类 号：R699.2[医药卫生—泌尿科学] R563.1[医药卫生—外科学]