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我院于1979年施行1例同种肾移植,术后并发体克型肺炎,抢救获得成功。存活4年8个月。患者男,25岁,因慢性肾炎尿毒症入院。术前血尿素氮190mg,肌醉16.8mg,血压170/110,X线、胸片正常,于1979年12月29日施行尸肾移植术。术后50天内发生三次急性排异反应,共用琥珀氢考16,000mg、甲基强的松龙5,000mg静脉“冲击”治疗。患者术后53天出现咳嗽、胸痛、高热、右下肺呼吸音低。32小时后神志不清,呼吸困难,咯血性泡沫痰,血压降至70/?。持续低血压10小时,无尿16小时。痰培养为金黄色葡萄球菌,胸片显示右中下肺大片阴影。经抗休克(多巴胺、阿托品等血管扩张药)、抗感
In our hospital in 1979, 1 case of the same kind of kidney transplantation, postoperative Concord pneumonia, rescue success. Survive 4 years and 8 months. Male patient, 25 years old, hospitalized for chronic nephritis uremia. Preoperative blood urea nitrogen 190mg, muscle drunk 16.8mg, blood pressure 170/110, X-ray, chest X-ray normal, December 29, 1979 implementation of autopsy. Three acute postoperative anomalies occurred within 50 days, sharing amber hydrogen test 16,000mg, methylprednisolone 5,000mg intravenous “shock” treatment. 53 days after the patient had cough, chest pain, fever, lower right lung breath sounds low. After 32 hours unconscious, dyspnea, hemoptysis foam sputum, blood pressure dropped to 70 / ?. Persistent hypotension for 10 hours, anuria 16 hours. Sputum culture for Staphylococcus aureus, chest X-ray showed large right and left shadow. After anti-shock (dopamine, atropine and other vasodilators), anti-flu