You Position: Home > Paper
Diagnosis and treatment of pneumocystosis after renal transplantation
( views:310, downloads:86 )
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF ORGAN TRANSPLANTATION
- Issue:
- 5
- DOI:
- 10.3760/cma.j.issn.0254-1785.2003.05.106
- Key Word:
- 肺炎,卡氏肺囊虫;肾移植
Abstract： 目的探讨肾移植术后并发卡氏肺孢子虫病的早期诊断及治疗.方法对6例肾移植术后并发卡氏肺孢子虫病的有关临床资料进行分析和总结.结果 6例患者确诊为卡氏肺孢子虫病后给予复方磺胺甲卟恶唑(SMZ 60～70 mg·kg-1·d-1,TMP 12～14 mg·kg-1·d-1,分2～4次给药)治疗3周,并调整免疫抑制方案及对症治疗,除1例患者因放弃治疗死亡外,其余5例均治愈,移植肾功能正常.结论卡氏肺孢子虫病的确诊有赖于肺组织活检找到病原体,治疗首选复方磺胺甲卟恶唑,并适当减少免疫抑制剂用量.
- [1]吴式,林锡芳.卡氏肺囊虫肺炎临床诊治的初步体会[J].1998,(10).
- [2]马壮,陈萍,李卿,等.肾移植术后并发卡氏肺孢子虫病、非何杰金淋巴瘤及肺曲霉菌病一例的诊治体会[J].1999,(3).
- [3]Kliem V,Lufft V,Brunkhorst R,etc.Incidence of Pneumocystis carinii pneumonia after renal transplantation. Impact of immunosuppression.[J].1996,62(3).
- [4]A J, Branten,P J, Beckers,R G, Tiggeler,etc.Pneumocystis carinii pneumonia in renal transplant recipients.[J].1995,10.