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本文报告7例并发于肾移植术后的肺结核,就其诊断过程进行剖析,其中2例发现有供肾结核。肾移植术后肺结核发病率较正常人群显著为高,症状隐匿或突发起病而不典型,诊断困难。其感染来源主要为体内潜伏病灶再激发,或新近感染。因此,供肾直接传播亦是一个不可忽视的途径,故提出就供肾者及受肾者两方面加强预防的初步建议。
This article reports 7 cases complicated by pulmonary tuberculosis after renal transplantation, the diagnosis of its anatomy, of which 2 cases were found for renal tuberculosis. The incidence of tuberculosis after renal transplantation was significantly higher than the normal population, occult or sudden onset of symptoms and atypical, difficult to diagnose. The main source of infection is the re-excitation of latent lesions in vivo, or newly infected. Therefore, the direct transmission of kidneys is also an inevitable route. Therefore, we propose some preliminary recommendations on how to improve prevention in both the kidney and kidney recipients.