【摘要】 目的 探讨肝移植术后感染并发症的防治。方法 2003年9月～2005年12月连续施行42例原位肝移植术。术后应用了一系列预防细菌、病毒、真菌感染和乙型肝炎再感染的措施。结果 42例中发生胆道感染1例，CMV感染1例，乙型肝炎复发1例。其中胆道感染及CMV感染2例分别于术后3周和6个月死亡；乙肝复发患者经治疗后HBsAg及HBV-DNA转阴。结论 合理、有效的治疗措施是预防肝移植术后感染的关键。

    【关键词】 肝移植；感染

    Prevention and treatment of infection after liver transplantation

    XU Feng,YANG Jiamei,KAN Tong,et al.Eastern Hepatobiliary Surgery Hospital,Second Military Medical University,Shanghai 200438,China

    【Abstract】 Objective To explore the prevention and treatment of infection after liver transplantation.Methods From Sep,2003 to Dec,2005,42 consecutive liver transplantation was performed.A series of measures were carried out to prevent bacteria,virus and fungi infection and hepatitis B reinfection posttransplantation.Results Two of the 42 recipients developed infection,including 1 biliary infection and 1 CMV infection.These 2 patients died 3 weeks and 6 months postoperation,respectively.Another patient suffered from hepatitis B reinfection,who had been rescued after treatment.Conclusion Reasonable and effective measures are the key points to prevent from infection after liver transplantation. ...... 婵″倹鐏夐幃銊ユ躬娴ｈ法鏁ら幍瀣簚缁涘绁︾憴鍫熸閺冪姵纭堕弻銉ф箙閹存牔绗呮潪钘夊弿閺傚浄绱濋崣顖濆厴閺勵垵顫﹂幖婊呭偍瀵洘鎼告径杈╂埂閳ユ粏娴嗛惍浣测偓婵撶礉鐠囬鍋ｉ崙璇茬潌楠炴洘娓舵稉瀣煙閻ㄥ嫧鈧粎鏁搁懘鎴犲閳ユ繃鍨ㄩ垾婊冨斧缂冩垿銆夐垾婵婎問闂傤喓鈧拷


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