Moncorge C, Matmar M
Département d'Anesthésie-Réanimation, Groupe Hospitalier Cochin, Paris.
Ann Radiol (Paris). 1994;37(5):383-5.
Infections after liver transplantation are frequent and represent the first cause of mortality. Bacterial and fungal infections are favourized by preoperative clinical status, surgical conditions, degree of immunosuppression, and surgical complications. Perioperative antibiotics and, for patients at risk, antifungal prophylaxis, reduce their indicidence. Viral infections are attributed principally to CMV. Prophylaxis against CMV with immunoglobulins can be suggested for patients at risk. Curative antiviral treatment is always effective.
肝移植后感染很常见,是首要死亡原因。术前临床状况、手术条件、免疫抑制程度及手术并发症会增加细菌和真菌感染的风险。围手术期使用抗生素以及对有风险的患者进行抗真菌预防可降低其发生率。病毒感染主要归因于巨细胞病毒(CMV)。对于有风险的患者,可建议使用免疫球蛋白预防CMV。抗病毒治疗总是有效的。