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回顾性总结18例肾移植术后发生CMV肺炎的资料;通过检测外周血中CMV-IgM和CMV-DNA,并结合临床症状以及X线胸部照片以明确诊断;以更昔洛韦治疗,或更昔洛韦联合膦甲酸钠治疗,同时防治混合感染,加强营养支持,并根据动脉血氧分压,尽早使用呼吸机。探讨肾移植术后巨细胞病毒(CMV)肺炎的临床诊断和防治。
A retrospective review of 18 cases of CMV pneumonia after renal transplantation data; by detection of peripheral blood CMV-IgM and CMV-DNA, combined with clinical symptoms and chest X-ray photographs to confirm the diagnosis; with ganciclovir treatment, or more Cylovir combined with foscarnet treatment, while preventing and treating mixed infection, enhance nutritional support, and based on arterial oxygen pressure, early use of ventilator. To investigate the clinical diagnosis and treatment of cytomegalovirus (CMV) pneumonia after renal transplantation.