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Analysis of pulmonary infection and susceptible factors following orthotopic liver transplantation

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF ORGAN TRANSPLANTATION
Issue:
10
DOI:
10.3760/cma.j.issn.0254-1785.2005.10.002
Key Word:
肝移植;肺;感染

Abstract: 目的探讨原位肝移植(OLT)术后肺部感染的特点和易感因素.方法回顾性总结128例原位肝移植的临床资料,分析肺部感染的主要致病菌、感染发生的时间及易感因素.结果128例患者OLT术后共发生肺部感染48例(37.5%),其中27例(56.3%)发生在术后7 d内,34例(70.8%)为混合感染;死亡6例(12.5%),其余治愈.致病菌前几位依次为铜绿假单胞菌,鲍曼/溶血不动杆菌、金黄色葡萄球菌和曲霉菌.结论多种病菌可致肝移植术后肺部感染,并与受者的体质、机械通气及免疫抑制剂应用等诸多因素有关.

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