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目的探讨肾移植术后脑脓肿特点及治疗。方法对7例肾移植术后脑脓肿病人进行回顾分析,7例病人均行抗感染治疗,其中1例病人后行脓肿穿刺引流术,另1例行脓肿切除术。结果7例脑脓肿病人中治愈(临床症状体征、CT或MRI显示病灶消失)2例,好转(临床症状体征改善或消失,CT或MRI显示病灶为炎性肉芽肿)2例,死亡3例。结论肾移植术后出现脑脓肿治疗较困难,脓肿易复发,死亡率较高。
Objective To investigate the characteristics and treatment of brain abscess after renal transplantation. Methods Seven patients with brain abscess after renal transplantation were retrospectively analyzed. Seven patients were treated with anti-infective therapy. One patient underwent abscess drainage and the other one underwent abscess resection. Results In 7 patients with brain abscess, 2 cases were cured (clinical symptoms and signs, CT or MRI disappeared), 2 cases improved (symptoms or signs disappeared, CT or MRI showed inflammatory granuloma) and 3 died. Conclusion Brain abscess after renal transplantation is more difficult to treat, abscess is easy to relapse, the mortality rate is higher.