Hau T, Mozes M F, Jonasson O
Langenbecks Arch Chir. 1981;353(4):269-77. doi: 10.1007/BF01266012.
Twenty of 322 renal allograft recipients developed intraperitoneal infections. The mortality was 70% and responsible for 20% of all transplant deaths. Wound infections were the source of the peritonitis in over 50% of the patients, 40% were on high-dose immunosuppression. In contradistinction to the patients who died, the clinical picture of the survivors was characterized by: (1) localized peritonitis, (2) no high-dose immunosuppression, (3) absence of uncommon pathogens like C. albicans and S. marcescens, (4) radical peritoneal debridement with irrigation of the abdominal cavity at the time of surgery.
322例肾移植受者中有20例发生了腹腔感染。死亡率为70%，占所有移植死亡病例的20%。超过50%的患者伤口感染是腹膜炎的来源，40%的患者接受大剂量免疫抑制治疗。与死亡患者不同，幸存者的临床表现特点为：（1）局限性腹膜炎；（2）未接受大剂量免疫抑制治疗；（3）不存在白色念珠菌和粘质沙雷氏菌等不常见病原体；（4）手术时进行了彻底的腹膜清创和腹腔冲洗。
