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目的:探讨肾移植后肺部感染的临床诊断、治疗。方法:收集本院2008年6月至2011年3月收治的17例肾移植后肺部感染患者的临床资料,分别对临床症状特点、体征及辅助检查特点进行分析。结果:症状表现:发热88%,咳嗽、咳痰88%,气短76%,肺部湿性哆音88%。辅助检查特点:间质性肺炎76%,肺炎13%,肺结核11%,血象升高88%,血培养0%,痰培养5%,病毒抗体阳性10%。结论:早期诊断及经验性治疗尤为重要,可减少肾移植术后肺部感染的病死率。
Objective: To investigate the clinical diagnosis and treatment of pulmonary infection after kidney transplantation. Methods: The clinical data of 17 patients with pulmonary infection after renal transplantation admitted in our hospital from June 2008 to March 2011 were collected. The clinical features, signs and characteristics of the auxiliary examination were analyzed respectively. Results: Symptoms: fever 88%, cough, expectoration 88%, shortness of breath 76%, lung wet dumb sound 88%. Auxiliary examination features: interstitial pneumonia 76%, pneumonia 13%, tuberculosis 11%, blood increased 88%, blood culture 0%, 5% sputum culture, the virus antibody positive 10%. CONCLUSIONS: Early diagnosis and empirical treatment are particularly important to reduce the mortality of lung infections after kidney transplantation.