Observation and nursing care of renal transplantation patients complicated with pneumocystis carinii pneumonia
10.3760/cma.j.issn.1672-7088.2013.09.017
- VernacularTitle:肾移植术后合并卡氏肺孢子虫肺炎患者的观察及护理
- Author:
Xin MA
;
Haiyan WANG
;
Ying JIN
;
Na ZHANG
- Publication Type:Journal Article
- Keywords:
Kidney transplantation;
Pneumocystis carinii pneumonia;
Nursing care
- From:
Chinese Journal of Practical Nursing
2013;(9):44-46
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the diagnosis,treatment and nursing of the patients complicated with pneumocystis carinii pneumonia (PCP) after renal transplantation,and to enhance the treatment effect of the disease.Methods The treatment and nursing processes of 37 patients complicated with PCP after renal transplantation in department of organ transplantation were retrospectively analyzed in the First Affiliated Hospital of China Medical University from May 1992 to July 2011.And the key points during nursing work were summarized.Results Of the total 37 patients,10 patients occurred respiratory failure,they were all treated by noninvasive ventilation,among which 6 patients were converted to tracheal intubation or tracheotomy mechanical ventilation.5 patients appeared rising serum creatinine(Scr) during treatment,but recovered to normal level after discontinuing SMZco for 1 week.4 patients died unfortunately,and the others were cured and discharged.Conclusions The occurrence of PCP after renal transplantation is closely related to the immune state of the patients,thus the priority of treatment for PCP should be prevention.Once happened,nursing care in aid is particularly important,then nurses should encourage patients to cooperate with treatment,relieve symptoms after infection,and promote recovery as well.
