Dissertation
Dissertation > Medicine, health > Surgery > Urology ( urinary and reproductive system diseases) > Urinary tract and male reproductive system surgery > Kidney surgery

The Clinical Study of Diagonosis and Therapy of Pulmonary Infection after Renal Transplantation

Author LiMingJie
Tutor XuYouHe
School Taishan Medical College
Course Surgery
Keywords Kidney transplant Lung infection Chest CT Sputum culture Comprehensive treatment
CLC R699.2
Type Master's thesis
Year 2005
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Objective To observe the chest CT combined with the number of sputum culture and blood cells to analyze the role in the early diagnosis of lung infection after renal transplantation , to investigate the clinical effect of the characteristics and treatment of lung infection after renal transplantation . Materials and methods retrospectively analyzed the clinical data of 52 cases of lung infection after renal transplantation , and is set to a historical control group results of pathogen detection , according to the therapeutic diagnosis , classification and characteristics of various pathogens in CT the performance of the 37 cases of lung infection after renal transplantation patients spiral CT combined with multiple sputum culture , blood cell analysis and comprehensive treatment of a prospective study , the observed clinical effect . The results of 52 cases of patients with lung infection , mixed infection 33 cases , accounting for 64.46% of the total number of patients ; simplex infection in 19 cases, accounting for 35.54% of the total number of patients . Viral infections ( six cases ) , accounting for 8.57% ; bacterial infection , 48 cases , accounting for 68.57% ; fungal infection in 13 cases , accounting for 18.57% ; tuberculosis infection in 3 cases ( based on therapeutic diagnosis ) , accounting for 4.29% ; 38 cases were cured , 14 patients died , the cure rate of 73.07% ; 31 patients with chest CT examination , chest plain film checks in 52 cases , in sputum culture ( 43 cases ) , the average length of stay of 26 days . Prospective study of 37 cases of lung infections in patients , 27 cases of mixed infection , accounting for 72.92% of the total number of patients ; simplex infection in 10 cases, accounting for 27.08% of the total number of patients . Three cases of the viral infection , accounting for 6.12% ; bacterial infection , 33 cases , accounting for 67.35% ; fungal infection in 11 cases , accounting for 22.45% ; tuberculosis infection in 2 cases , accounting for 4.08% ; any pathogens were not detected in one case , 34 cases were cured , the cure rate was 91.89% , significantly higher than that in the control group (p lt; 0.05), and the average length of stay of 21 days, compared to the control group was statistically significant ( p lt; 0.05 ) . Conclusion chest spiral CT than chest radiography 3-5 days in advance of the lung infection focus , chest CT combined with multiple sputum culture and blood cell analysis to confirm the diagnosis , as early as possible to take targeted therapeutic significance is essential , comprehensive treatment of treatment success key.

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