Watch out for _'s general knowledge of pneumocystics carinii pneumonia in postoperative renal transplantation

Watch out for _'s general knowledge of pneumocystics carinii pneumonia in postoperative renal transplantation
Increase with the number of people of renal transplantation, postoperative patients who pneumocystics carinii pneumonia happens have getting many too. Zhejiang Province the intersection of Wenzhou and medical college attach to, transplant the intersection of centre and little tinkling of pieces of jade Zheng,et al. by first hospital, having met and examined 85 renal transplantation patients less than one year last year, 16 people suffered from pneumocystics carinii pneumonia. Because this disease gets up the disease is urgent, once can't diagnose correctly, mortality is up to more than 98% in time. Associate professor of treatment Zheng ShaoLing reminds, should watch out for the emergence of pneumocystics carinii pneumonia at any time after patient's operation of renal transplantation. Pneumocystics carinii pneumonia once infected and aroused the attention from people as most common lung of AIDS, but this kind of pulmonary tuberculosis is nowadays frequently " Patronize " Low person who didn't get AIDS of immunity. Zheng ShaoLing introduces, because the renal transplantation patient uses immune inhibitor, lead to the fact immunity is reduced, it is apt to be infected with this disease. There are reports abroad at present, the incidence of pneumocystics carinii pneumonia is 2% - 11% after renal transplantation. Thought, card lung cysticercus was infected may be the same as pulmonary tuberculosis, the pathogen was stored in the alveolus and did not cause a disease in the past, have it from the possibility of healing, and suitable for environment when or other factors act on together, will get up disease sharply. But discover now, this disease happens mainly because of the other source infection, the bacterium in the air or surface of object invades in the body, " stationed " In lung department type cells, breed, produce the secretion, make the lung organize presenting the fiber. Zheng ShaoLing,et al. finds in clinic, although symptom of pneumocystics carinii pneumonia still takes symptoms such as having difficulty in breathing, generating heat, dry cough,etc. as the core, but lung physical sign is not very typical, after a few patients amalgamate other bacterial infection, can present the wet rale of lung. The lung CT is checked, can see two lungs having exudative pathological change of the quality among filling the air at various degrees, it is spread that wild to the lung from the lung door. The one that is worth paying attention to is, all patients have obvious hypoxemia disease after having illness coming on, and with respiratory alkalosis, if does not treat in time, it is breathed depletedly that will be complicated quickly. The inspection method is besides irritating and washing, living and examining the alveolus with the bronchus mirror, adopting the electric mirror can clear that measure to worm's body or virus particle of card lung cysticercus. Zheng ShaoLing,et al. thinks, the increase that pneumocystics carinii pneumonia takes place, may relate to the fact that new immune inhibitor is employed. So long as diagnose in time, most patients treat through resisting inflammation, strengthening lung keeping in touch with and inactive immune inhibitor etc., can make the satisfactory result. They are 16 therapeutic patients, except that a person dies, other patients return to normal after 1- 2 months, and through following up a case by regular visits to, has not caused damage in transplanting the renal function. This disease has illness coming on and generally sees more for postoperative about 6 months, had better prevent antibiotic during 1- 2 months of postoperative renal transplantation, repeat once every 2- 3 months later, in order to reduce the emergence of pneumocystics carinii pneumonia.
|