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shen yi zhi shu hou ju xi bao bing du fei yan 23 li lin chuang fen xi
Author(s): 
Pages: 2383-2384
Year: Issue:  20
Journal: THE JOURNAL OF PRACTICAL MEDICINE

Keyword:  肺炎病毒性巨细胞病毒感染肾移植综合治疗;
Abstract: 目的:探讨肾移植术后巨细胞病毒(CMV)肺炎的临床特点、治疗和转归.方法:对肾移植患者术后23例并发CMV肺炎患者的临床资料进行回顾性分析.通过检测外周血中CMV-IgM和(或)CMV-DNA,结合临床症状及胸片明确诊断.以更昔洛韦治疗,同时防治混合感染,加强营养支持,并根据动脉血氧分压,尽早使用呼吸机.结果:11例(47.8%)治疗有效,其中9例治愈,死亡12例.结论:对肾移植术后CMV肺炎应尽早诊断、及时应用以更昔洛韦为主的综合治疗.
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