临床肺科杂志 , Journal of Clinical Pulmonary Medicine, 编辑部邮箱 , 2011年11期 【作者】 蒋旭琴; 胡晓文; 梅晓冬;
【Author】 JIANG Xu-qing,HU Xiao-wen,MEI Xiao-dong* Department of Respiratory Medicine,Anhui Provincial Hospital,17 Lujiang Road,Hefei 230001
【机构】 安徽省立医院呼吸内科;
【摘要】 目的探讨肾移植术后卡氏肺孢子菌肺炎的临床。方法介绍1例确诊卡氏肺孢子菌肺炎并Ⅰ型呼吸衰竭的肾移植术后患者的临床资料并文献复习。结果患者肾移植术后免疫抑制剂持续治疗5月时,出现发热、咳嗽、咳痰、胸闷、气喘及呼吸困难,血液检查中性粒细胞比例增高,伴严重低氧血症,胸部CT显示两肺弥漫性渗出性病变伴间质改变,痰涂片找到卡氏肺孢子菌。予复方新诺明(SMZco)、甲基强的松龙、调整免疫抑制剂应用及其它支持对症治疗,15 d痊愈出院。结论肾移植术后合并卡氏肺孢子菌肺炎是常见机会性感染,及时诊断和治疗可取得满意的效果。 更多还原
【Abstract】 Objective To explore the clinical characteristics,diagnosis and treatment of pneumocystis carinii pneumonia after renal transplantation.Method The data of a patient who was diagnosed pneumocystis carinii pneumonia with microbiological evidence was retrospectively analysed and the literature was reviewed.Results The patient developed fever,cough and dyspnea in the fifth month after renal transplantation.CT scanning demonstrated symmetric,apically distributed ground glass opacities with peripheral... 更多还原 【关键词】 器官移植; 卡氏肺孢子菌肺炎; 治疗; 【Key words】 pneumocystis carinii pneumonia; transplantation; diagnosis; treatment; 【分类号】R563.1;R699.2
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