摘要
文章回顾性地分析了肾移植受者肺感染所引起的成人呼吸窘迫综合征(ARDS),且对该病的治疗,转归和预防进行了讨论,并指出呼吸窘迫综合症严重影响移植受者的人及肾存活率,应对导致其发生的肺部感染尤其是肺结核菌感染予以移植早期诊断、及时治疗。
This article reviewed and analyzed 6 patients of post renal transplantation with adult respiratory distress syndrome (ARDS) caused by pulmonary infections. Among the 6 cases, 3 were infected by fungi, 1 by thbercle bacilli, 1 by mixture of fungi and tubercle bacilli and 1 by Pseudomonas aeruginosa. Four cases died and 2 were cured in which 1 of them was well followedup for 15 months. The early symptoms of these paitents were intermittem fever. The highest temperature reached above 39.5℃ in 5 days. Blood gas analysis revealed p^H 7.27-7.46, PaO_2 3.6-5.6 kPa and PaCO_2 2.4-4.4 kPa. It indicated that ARDS markedly influenced the survival rate of the transplanted kidney as well as the recipients. The pulmonary infections, especially the infection of tubercle bacillos, should be diagnosed in the early stage and should be treated promptly.
出处
《铁道医学》
1991年第3期132-133,共2页
Railway Medical Journal
关键词
肾移植
肺部感染
呼吸窘迫
综合征
kidney diseaes lung diseascs respiratory distress syrndrome, adult
