| 肾移植术后并发重症肺部感染的原因与处理 |
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| 引用本文： | 蔡治涛,李恒,王振迪,曾甫清,管永俊,张润清.肾移植术后并发重症肺部感染的原因与处理[J].临床泌尿外科杂志,2007,22(10):733-735. |
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| 作者姓名： | 蔡治涛 李恒 王振迪 曾甫清 管永俊 张润清 |
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| 作者单位： | 华中科技大学同济医学院附属协和医院泌尿外科,武汉,430022 |
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| 摘 要： | 目的:探讨肾移植术后并发重症肺部感染的原因与处理措施。方法:回顾性分析29例肾移植术后并发重症肺部感染患者的临床资料。结果:29例重症肺部感染患者中17例(58.6%)救治成功,12例(41.4%)因合并急性呼吸窘迫综合征抢救无效死亡。结论:重症肺部感染是肾移植受者术后近期死亡的主要原因之一;果断减少或停用免疫抑制剂,早期联合用药抗感染治疗,尽可能早期明确病原学诊断,积极纠正低氧血症和低蛋白血症等,是成功救治的关键。
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| 关 键 词： | 肾移植 肺部感染 |
| 文章编号： | 1001-1420（2007）10-0733-03 |
| 修稿时间： | 2007-03-13 |
The cause and treatment of the severe pulmonary infection after renal transplantation |
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| CAI Zhitao,LI Heng,WANG Zhendi,ZENG Fuqing,GUAN Yongjun,ZHANG Runqing.The cause and treatment of the severe pulmonary infection after renal transplantation[J].Journal of Clinical Urology,2007,22(10):733-735. |
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| Authors: | CAI Zhitao LI Heng WANG Zhendi ZENG Fuqing GUAN Yongjun ZHANG Runqing |
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| Affiliation: | 1Department of Urology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China |
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| Abstract: | Objective:To investigate the cause and treatment of the severe pulmonary infection after renal transplantation.Methods:A total of 29 cases severe pulmonary infection after transplantation were retrospectively analyzed. Results: 17 cases out of the 29 severe pulmonary infection patients(58.6%) were rescued successfully,and 12 (41.4%)died from acute respiratory distress syndrome. Conclusions:Severe pulmonary infection is one of the main reasons of death in recipients within 6 months after renal transplantation. The key points of successful treatment involve aggressive reduction or discontinuation of the immunosuppression therapy, the early administration of extended-spectrum and combined antibiotics, identification of pathogens as early as possible, correction of hypoxia and hypoproteinemia. |
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| Keywords: | Renal transplantation Pulmonary infection |
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