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[受污染肾脏移植的随访]

[Follow-up of the transplantation of contaminated kidneys].

作者信息

Lucius K, Oesterwitz H, Strobelt V

机构信息

Urologische Klinik, des Krankenhauses im Friedrichshain, Berlin.

出版信息

Z Urol Nephrol. 1990 Jan;83(1):17-21.

PMID:2330761
Abstract

102 kidney transplantation were performed in 1987 in the Kidney Transplant Center at Berlin. The course of 22 contaminated grafts (22%) was analyzed. The main bacteria were staphylococcus aureus and pseudomonas aeruginosa. In 6 out of 22 contaminated transplants (27%) a delayed wound healing did occur. In 2 cases the infection was the cause of graft removal and 2 patients died due to septical complications of the contaminated graft. Therefore, the contaminated kidney is a potential risk for graft and patient survival and strong asepsis and effective perioperative antibiotic prophylaxis is necessary.

摘要

1987年,柏林肾脏移植中心进行了102例肾脏移植手术。对22例(22%)受污染移植物的病程进行了分析。主要细菌为金黄色葡萄球菌和铜绿假单胞菌。22例受污染移植中有6例(27%)确实出现了伤口愈合延迟。2例感染是移植物被摘除的原因,2例患者因受污染移植物的败血症并发症死亡。因此,受污染的肾脏对移植物和患者的存活是一个潜在风险,严格的无菌操作和有效的围手术期抗生素预防是必要的。

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