肝移植术后中远期肺部真菌感染特点及对策

Characteristics and countermeasures of long-term pulmonary fungal infection after liver transplantation

目的探讨肝移植术后中远期肺部真菌感染的临床特点及护理。方法回顾性分析武警总医院移植研究所2005年6月至2008年9月肝移植术后中远期肺部真菌感染患者的临床资料,采取个体化治疗和护理,并对护理特点及对策进行总结分析。结果本院存活的608例肝移植患者中,术后中远期肺部真菌感染12例,发病率为2.0%。12例患者中治愈8例,好转1例,死亡1例,2例未治患者病情稳定。结论肝移植术后中远期肺部真菌感染有别于早期肺部真菌感染,应针对其临床特点,实施有针对性的护理措施,从而使移植受者获得长期生存。

Objective To study the clinical characteristics and nursing of long-term pulmonary fungal infection after liver transplantation. Methods A retrospective analysis of Transplant Institute of the Armed Police General Hospital from June 2005 to September 2008 long-term pulmonary fungal infection after liver transplantation was done. Individual treatment and care was adopted,and nursing characteristics and countermeasures of analysis were summarized. Results In the 608 survived cases of liver transplantation patients of our hospital,long-term postoperative pulmonary fungal infection happened in 12 cases with the incidence of 2.0%. In those 12 cases, 8 cases were cured,1 improved,1 died and 2 cases with stable condition did not treated. Conclusions Long-term pulmonary fungal infection after liver transplantation is different from the early pulmonary fungal infection. If it is treated according to its clinical characteristics and with targeted nursing measures,the transplant recipients can get long-term survival.