In order to identify the incidence of nosocomial pulmonary infection in surgical critical care patients in our hospital, we studied 800 patients discharged from surgical intensive care unit between May 1992 to Dec. 1994. One hundred and six episodes of pulmonary infection were found in 96 cases, in which 20 cases had been re-infected. The infection rate was 12.0%. The age of patients, APACHE- Ⅱ score and duration in ICU were closely related to the incidence of pulmonary infection. Tracheal intubation, tracheotomy and mechanical ventilation were the predisposing factors. The prevalent pathogens were pseudomonas aeruginosa, acinetobacter, staphylococcus aureus and candida albicans. 54.7% of cases were infected with more than one pathogens, and 36.8% of cases had fungal infection. The prevention and treatment are also discussed.
目的探讨肝移植后育龄妇女的怀孕及分娩对胎儿的影响。方法分析了中国大陆首例肝移植妇女肝移植、免疫抑制剂使用及成功怀孕和分娩的情况。 结果本例妇女因硬化性胆管炎，胆汁性肝硬化，肝脓肿，脾大而行同种原位肝移植术，术后2年9月第二次成功怀孕并分娩出发育正常的男婴。结论肝移植后育龄妇女同样可以正常怀孕，但是发生早产和胎儿发育相对迟缓的几率增加；怀孕过程中应该严密地监控母亲的器官功能改变和胎儿的发育情况，并且应合理选择和使用免疫抑制剂。
【摘要】目的 报道四川大学华西医院首例胰肾联合移植。方法 2007年3月我院对1例2型糖尿病合并肾功能衰竭患者成功施行了胰肾联合移植手术，将肾脏移植于左侧髂窝，胰腺移植于右侧髂窝，胰腺移植采用肠道-体循环回流术式。结果 术后第1 d C-肽升至正常水平，第4 d血肌酐恢复正常，第11 d血尿素氮恢复正常，血糖逐渐趋于稳定，第16 d完全停用胰岛素，术后3周OGTT结果显示移植胰腺功能正常。随访6个月移植胰腺、肾脏功能正常，没有发生手术相关并发症。结论 胰肾联合移植是治疗2型糖尿病合并肾功能衰竭的有效手段。