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80年代以来,随着新一代免疫抑制剂环孢素A应用于临床,同种异体肾移植开创了新局面。然而,肾移植后肺结核屡有发生。现报告1例。病例介绍患者,男33岁,1991年4月出现血尿,外院诊断为慢性肾小球肾炎。1992年8月出现发热、右胸痛,连查胸水结核RCR阳性2次,确诊结核性胸膜炎,仅予抽胸水及INH化疗1月。1992年10月上消化道出血,诊断尿毒症。1994年3月底行同种异体肾移植。术后给予环孢素A、硫唑嘌呤及强的松抗排异,术后9月内肾功
Since the 1980s, with the new generation of immunosuppressive agents cyclosporin A for clinical use, allograft kidney transplantation has opened up a new situation. However, tuberculosis occurs frequently after kidney transplantation. Now report 1 case. Case presentation The patient, male, 33 years old, appeared in April 1991 hematuria, outside the hospital diagnosed as chronic glomerulonephritis. August 1992 fever, right chest pain, and even check the RCR positive pleural fluid tuberculosis 2 times, confirmed tuberculous pleurisy, only to the pleural effusion and INH chemotherapy in January. October 1992 upper gastrointestinal bleeding, uremia diagnosis. By the end of March 1994 allograft kidney transplantation. Postoperative cyclosporine A, azathioprine and prednisone rejection, renal function within 9 months after surgery