CHARACTERISTICS AND MANAGEMENT OF PERIOPERATIVE INFECTION AFTER SIMULTANEOUS PANCREASKIDNEY TRANSPLANTATION （REPORT OF 2 CASES）_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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徐澤寬 , 張煒 , 劉訓良 , 吳宏飛 , 苗毅 , 顧民 , 睦元庚 , 武正炎

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胰腎聯合移植感染圍手術期

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目的總結胰腎聯合移植術后感染的特點，并對其預防及治療進行討論。方法對我院施行的2例胰腎聯合移植術后感染的臨床資料結合有關文獻進行討論。結果1例術后發生7次感染，其中2次為肺部感染，4次為泌尿系感染，1次為巨細胞病毒感染，移植之胰腎有功能存活3年余；另1例發生呼吸系統及泌尿系統感染各1次，術后早期恢復尚可，3周發生急性腎排斥，7周死于混合菌感染敗血癥。結論胰腎聯合移植圍手術期感染根據其臨床特點，正確的圍手術期處理非常重要。

Citation： 徐澤寬,張煒,劉訓良,吳宏飛,苗毅,顧民,睦元庚,武正炎. CHARACTERISTICS AND MANAGEMENT OF PERIOPERATIVE INFECTION AFTER SIMULTANEOUS PANCREASKIDNEY TRANSPLANTATION （REPORT OF 2 CASES）. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2002, 9(6): 424-425. doi: Copy

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1. Stratta RJ. Mortality after vascularized pancreas transplantation [J]. Surgery, 1998; 124(4)∶823.
2. Ghasemian SR, Light JA, Currier C, et al. Tacrolimus vs Neoral in renal and renalpancreas transplantation [J]. Clin Transplant, 1999; 13(1 Pt 2)∶123.
3. Smith JL, See WA, Ames SA, et al. Lower urinary tract complications with patients with duodenocystostomies for exocrine drainage of the transplanted pancreas [J]. Transplant Proc, 1991; 23(1 Pt 2)∶1611.
4. Smets YF, van der Pijl JW, van Dissle JT, et al. Infectious disease complications of simultaneous pancreas kidney transplantation [J]. Nephrol Dial Transplant, 1997; 12(4)∶764.
5. Sollinger HW, Messing EM, Eckhoff DE, et al. Urological complications in 210 consecutive simultaneous pancreaskidney transplants with bladder drainage [J]. Ann Surg, 1993; 218(4)∶561.
6. West M, Gruessner AC, Metrakos P, et al. Conversion from bladder to enteric drainage after pancreaticoduodenal transplantations [J]. Surgery, 1998; 124(5)∶883.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

CHARACTERISTICS AND MANAGEMENT OF PERIOPERATIVE INFECTION AFTER SIMULTANEOUS PANCREASKIDNEY TRANSPLANTATION （REPORT OF 2 CASES）

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