| 罗青毅,鲁宏,龚水根,王毅,罗香国.肾移植术后胸部并发症的X线表现[J].中国医学影像技术,2003,19(10): |
| 肾移植术后胸部并发症的X线表现 |
| Radiological Features of Chest Complications after Renal Transplantation |
| 投稿时间：2003-05-06 |
| DOI： |
| 中文关键词: 肾移植术 胸部 并发症 X线摄影术 |
| 英文关键词:Renal transplantation Chest Complications Radiography |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨肾移植术后胸部并发症的X线表现,提高对该病的诊断水平。方法 回顾性分析67例肾移植术后患者胸部并发症的临床与X线表现,实验室和超声检查结果。结果 肾移植术后胸部并发症主要为肺部感染,X线表现可分为4型:大叶性肺炎型36例(53％),支气管肺炎型26例(38％),栗粒型3例(4％),结节型2例(3％)。其致病菌多为肺炎球菌30例(44％),其次为真菌22例(32％),结核杆菌11例(16％)和金黄色葡萄球菌4例(6％)。另外67例患者中还发现伴有心脏改变23例(30%),胸腔积液11例(16％)和胸膜增厚3例(4%)。结论 肺部感染是肾移植术后胸部主要的并发症,X线平片是诊断该病经济、有效的检查方法,对指导治疗和判定预后有重要的临床意义。 |
| 英文摘要: |
| Objective To explore radiological features of chest complications after renal transplantation (RT) and improve the radiological diagnostic ability of these complications.Methods Sixty seven patients with chest complications after RT were selected as the objects of this study. Their clinical and radiological features, laboratory and ultrasonic examination results were analyzed retrospectively.Results The main chest complication after RT was pulmonary infection, it's radiological features were divided into four types: lobar pneumonia type in 36 cases (53%), bronchopneumonia type in 26 cases (38%), granules type in 3 cases (4%) and nodal type in 2 cases (3%). The most common pathogenic bacteria was pneumococcus in 30 cases (44%), and in 22 cases (32%), tubercle bacillus in 11 cases (16%) and staphylococcus in 4 cases (6%). In addition, this study also found accompanying cardiac complications in 23 cases (30%), hydrothorax on 11 cases (16%) and pleural thickening in 3 cases (4%).Conclusion Pulmonary infection was the most frequent chest complication after RT, radiological plain film as a cheap useful modality in diagnosing chest complications, can play an important role in guiding therapy and predicting prognosis. |
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