Levasseur J P, Vaissier E, Dorent R, Cantoni E, Jault F, Bors V, Corbi P, Nataf P, Cabrol A, Gandjbakhch I
Service de Chirurgie Cardio-Vasculaire et de Transplantation Cardio-Thoracique, Hôpital de la Pitié, Paris.
Agressologie. 1992;33 Spec No 2:67-71.
This study describes the infectious complications in 68 heart-lung transplant patients. We focused interest on early post-transplant infections so called nosocomial pulmonary infections, their exacerbating cofactors their clinical expression, and elements of diagnosis and treatment. Furthermore we describe the principal infections seen during long-term followup, which are opportunist infections caused most often by immunosuppression: Cytomegalovirus infections have a high incidence with serious clinical consequences in heart-lung transplant patients. As well as pneumocystis carinii infections and fungal infections, such as aspergillosis.
本研究描述了68例心肺移植患者的感染性并发症。我们重点关注移植后早期感染,即所谓的医院获得性肺部感染、其加重的辅助因素、临床表现以及诊断和治疗要点。此外,我们还描述了长期随访期间出现的主要感染,这些是最常由免疫抑制引起的机会性感染:巨细胞病毒感染在心肺移植患者中发病率很高,具有严重的临床后果。还有卡氏肺孢子虫感染和真菌感染,如曲霉菌病。