肾移植术后合并严重肺部感染原因分析与救护

Causative Analysis and Medical Aid in Post-surgical Patients of Renal Transplantation Complicated With Severe Pulmonary Infection

为探讨肾移植术后合并严重肺部感染的病原学、好发时间、药物的管理与救护措施 ,对肾移植术后合并严重肺部感染的 49例病人进行回顾性分析。结果显示 :术后 3个月内发生严重感染 3 3例 ,占 67.3 4% ;6个月内发生严重肺部感染者44例 ,占 89.80 %。细菌感染者 3 7例次 ,真菌感染者2 0例次 ,巨细胞病毒感染者14例次 ,结核杆菌感染者 11例次。 2 0例为单纯感染 ,2 4例为混合感染。细菌感染中铜绿假单胞菌为主要致病菌 ,提示肾移植术后严重感染主要是院内感染。

To probe into the etiology, peak time of onset, medication and medical aids measures in patients underwent renal transplantation and complicated with severe pulmonary infection,retrospective analysis were conducted on 49 cases. Results showed that 33 cases had complication with severe pulmonary infection within 3 months of operation (67.34%).6 months after the operation, 44 cases had the complication (89.80%). Among all the infected patients, 37 cases were with bacterial infection, 20 cases were with mycotic infection, 14 cases were with cytomegalovirus infection, and 11 cases were with tuberculosis infection. 20 cases had simple infection. 24 cases had mixed infection. Among the bacterial infection patients, bacillus pyocyaneus was the major pathogen. Suggested that severe infection of post-surgical patients of renal transplantation got it mainly in the hospital. Therefore, for post-surgical renal transplantation patients, one should take necessary care to implement both isolation and effective prevention measures.