连续肾脏替代治疗肾移植术后肺部感染的临床观察  

Clinical observation on the therapeutic effect of continuous renal replacement therapy on patients with pneumonia after renal transplantation

作　　者：张波[1] 文莉[2] 傅祖红[1] 胡振红[1] 

机构地区：[1]广州军区武汉总医院呼吸内科,武汉市430070 [2]湖北省妇幼保健院,武汉市430070

出　　处：《实用医学杂志》2013年第22期3664-3665,共2页The Journal of Practical Medicine

摘　　要：目的:探讨连续肾脏替代治疗(CRRT)肾移植术后肺部感染的选择时机对预后的影响。方法:收集72例肾移植术后中度肺部感染患者的临床资料,分为CRRT组(n=36)和对照组(n=36),对照组给予常规治疗,CRRT组在常规治疗基础上加用CRRT治疗,比较两组患者的预后情况。结果:CRRT组3 d后体温正常人数明显多于对照组(P<0.05),多脏器功能障碍(MODS)、急性呼吸窘迫综合征(ARDS)、机械通气的发生率及住院时间、病死率均显著低于对照组(P<0.05)。结论:早期应用CRRT能有效改善肾移植术后肺部感染患者的预后。Objective To investigate the influence of different starting time of continuous renal replacement therapy （CRRT）on the prognosis of patients with pneumonia after renal transplantation. Method Seventy-two patients with moderate pneumonia after renal transplantation were randomly enrolled into the CRRT group （n = 36） and the control group （n = 36）. Patients in the control group received conventional therapy, while patients in the CRRT group received conventional treatment plus CRRT treatment. Comparation of the prognosises of these two groups was analyzed. Results Three clays post therapy, the number of patients achieving normal body temperature in the CRRT group was significantly higher than that in the control group （P 〈 0.05）. The incidences of multiple organ dysfunction （MODS）, acute respiratory distress syndrome （ARDS）, mechanical ventilation and hospitalization time ,mortality rate were significantly lower than those in the control group （P 〈 0.05）. Conclusion Early application of CRRT after renal transplantation can improve the prognosis of patients with pneumonia after renal transplantation.

关 键 词：肾移植 肺部感染 连续肾脏替代治疗 

分 类 号：R699[医药卫生—泌尿科学]