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。
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.
出处
《临床泌尿外科杂志》
2007年第10期733-735,共3页
Journal of Clinical Urology
关键词
肾移植
肺部感染
Renal transplantation
Pulmonary infection
