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A clinical study of pneumocystis carinii pneumonia after renal transplantation
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF ORGAN TRANSPLANTATION
- Issue:
- 2
- DOI:
- 10.3760/cma.j.issn.0254-1785.2002.02.105
- Key Word:
- 肾移植;肺炎,卡氏肺囊虫;诊断
Abstract： 目的提高对卡氏肺囊虫肺炎(PCP)的认识,探索电镜对卡氏肺囊虫肺炎的诊断意义以及预防PCP的方法.方法通过对95例肾移植术后受者中有发热、呼吸困难伴干咳的16例患者作回顾性分析,X线胸片及肺部CT显示此16例患者两肺弥漫性渗出性病变.其中 13例作支气管镜检,六胺银染色(Jones)结合电镜活检确诊为卡氏肺囊虫肺炎.结果选用复方磺胺甲基异恶唑(SMZco)治疗,15例康复,治疗过程中4例血肌酐及胆红素轻度增高,停药后恢复正常,随访2～12个月,PCP未复发.有1例因呼吸衰竭死亡.结论肾移植术后易罹患卡氏肺囊虫肺炎;PCP关键在于早期预防,早期诊断、早期治疗.电镜对诊断PCP有其重要的临床意义.
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