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目的提高对卡氏肺孢子虫肺炎(P.C.P)的认识。方法回顾性分析5例肾移植后P.C.P患者的资料。结果5例肾移植后P.C.P患者的临床主要表现为呼吸困难、咳嗽和发热、发绀,并呈进行性加重。X线表现肺部斑片状或絮状密度增高。治疗首选百炎净。5例均治愈出院。结论P.C.P及并发急性呼吸衰竭者预后差,早期诊断及治疗是提高生存的关键。
Objective To improve the understanding of Pneumocystis carinii pneumonia (P.C.P). Methods Retrospective analysis of 5 cases of renal transplant patients with P.C.P. Results The clinical manifestations of P.C.P patients after renal transplantation were mainly dyspnea, cough and fever, cyanosis and progressive increase. X-ray showed patchy or flocculent lung density increased. The preferred treatment of 100 Yan Net. Five cases were cured. Conclusion P.C.P. and acute respiratory failure complicated with poor prognosis, early diagnosis and treatment is the key to improving survival.