Diagnosis and treatment of pulmonary infection after liver transplant:a report of 34 cases
- VernacularTitle:肝移植术后肺部感染34例诊治
- Author:
Yongbiao CHEN
;
Yi JIANG
;
Huanzhang HU
;
Lizhi LU
;
Shaogeng ZHANG
;
Xiaojin ZHANG
- Publication Type:Journal Article
- Keywords:
Liver Transplantation;
Postoperative Complications;
Pneumonia/compl
- From:
Chinese Journal of General Surgery
2001;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the prevention and treatment of early pulmonary infection after liver(transplant).Methods A retrospective analysis was carried out on the clinical data of 34 cases suffered from post-transplant pulmonary infection among 62 cases of liver transplant.Results Among the 34 cases,27 cases recovered and 7 cases died.The sputum of 27 cases was cultured positive for bacteria and fungus(including) Gram-negative bacteria(51.9%),Gram-positive bacteria(29.6%) and fungus(18.5%),cytomegalovirus 1 case,EB virus in 1 case,and pathogens unknown in 5 cases.Conclusions (Gram-negative) bacteria are the main pathogens of pulmonary infection after liver transplant.The critical stage of pulmonary infection is the first week after operation.The perioperative management of respiratory tract and rational use of antibiotics are important for prevention and treatment of post-transplant pulmonary infection.