论文部分内容阅读
1目的 探讨肾移植病人并发结核的临床特点及诊治方法。 2方法 对 10例肾移植病人并发结核的发病特点、诊断方法及治疗效果进行了回顾分析。术后病人常规进行硫唑嘌呤 (Aza)、泼尼松 (Pred)二联 ,或环孢霉素 A(Cs A) ,Aza,Pred三联免疫抑制治疗 ;10例病人均根据临床表现 ,结合 X线检查、PCR扩增结核杆菌 DNA及组织学检查确诊为结核菌感染。给予异烟肼、利福平、乙胺丁醇 ,或异烟肼、利福平、吡嗪酰胺三联药物抗结核治疗。 3结果 治愈 7例 ,死亡 3例。 4结论 肾移植病人并发结核早期诊断困难 ,反复查胸部 X线片、PCR扩增结核杆菌 DNA等有助于诊断
1 Objective To investigate the clinical features and diagnosis and treatment of tuberculosis complicated with renal transplantation in patients. 2 Methods Ten cases of kidney transplant patients with tuberculosis incidence characteristics, diagnosis and treatment were reviewed. Patients were routinely treated with azathioprine (Aza), prednisolone (Pred), cyclosporin A (CsA), Aza, Pred triple immunosuppressive therapy; 10 patients were based on clinical manifestations, combined with X Line inspection, PCR amplification of Mycobacterium tuberculosis DNA and histological examination confirmed as Mycobacterium tuberculosis infection. Given isoniazid, rifampicin, ethambutol, or isoniazid, rifampin, pyrazinamide triple drug anti-TB treatment. 3 results cured in 7 cases, 3 deaths. 4 Conclusion renal transplant patients complicated with early diagnosis of tuberculosis difficult to repeatedly check the chest X-ray, PCR amplification of Mycobacterium tuberculosis DNA contribute to the diagnosis