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例1 男,55岁.因慢性肾炎尿毒症于1995年6月行同种异体肾移植术,手术顺利.术中和术后2d应用甲基强的松龙(MP)冲击,共3次,总量2g,术后7d应用抗胸腺淋巴细胞球蛋白(AHTG)静脉滴注300mg/d.术后第1d起口服硫唑嘌呤(Aza)50mg/d,泼尼松(Pred)30mg/d,15d后Pred减至25mg/d;术第3d口服环孢素A(CsA)5mg/kg·d~(-1) ,第8d增至8mg/kg·d~(-1) .术后7d肾功能恢复正常.术后15d患者突然发热39℃.伴头痛、咽痛,应用头孢类抗生素效果不明显.术后17d出现左侧腮腺肿痛,以耳垂为中心,向前、后、下肿大,边缘不清,触之有弹性感及轻度疼痛,咀嚼时胀痛明显,局部皮肤紧张发亮但不红.术后18d右侧腮腺也出现肿胀,白细胞计数9.7×10~9/L分类淋巴细胞0.45.遂改用静脉滴注无环鸟苷0.25g,每d3次.术后21d体温降至正常,术后23d双侧腮腺肿胀逐渐消退,术后26d痊愈.
Case 1 male, 55 years old. Due to chronic nephritis uremia in June 1995 allograft kidney transplantation, the operation was smooth .2 days after surgery and methylprednisolone (MP) impact, a total of 3 times, The total amount of 2g, 7d after application of anti-thymus lymphocyte globulin (AHTG) intravenous infusion of 300mg / d after the first day from the administration of azathioprine (Aza) 50mg / d, prednisone (Pred) 30mg / Pred was decreased to 25mg / d after 15 days, CsA 5mg / kg · d ~ (-1) was administrated on the 3rd day and increased to 8mg / kg · d (-1) on the 8th day. Function returned to normal after 15 days of sudden fever in patients with 39 ° C. With headache, sore throat, the application of cephalosporins antibacterial effect was not obvious 17d postoperative parotid swelling on the left lobe to the earlobe as the center, forward, backward, under the enlargement , The edge is not clear, touch the elastic and mild pain, chewing obvious pain, local skin lightening but not red.On the right parotid swelling 18 days after operation, white blood cell count 9.7 × 10 ~ 9 / L classification Lymphocytes 0.45, then changed to intravenous infusion of acyclovir 0.25g, every d3 times. 21 days after the temperature dropped to normal, after 23d bilateral parotid gland swelling subsided after 26 days cured.