Successful experience of treatment in patients with acute respiratory distress syndrome caused by severe pulmonary infection early after renal transplantation

Objective:To study the clinical manifestation,pathogen,colligated therapy and find result of patients with acute respiratory distress syndrome(ARDS)caused by severe lung infection early after renal transplantation.Methods:To review 21 post-operation recipients who received renal transplantation and got pulmonary infection leading to ARDS,to analysis the methods of treatment and the cause of success.Results:The clinical manifestation of patients with severe pulmonary infection early after renal transplantation was atypical.At the early stage,cytomagalovirus accounted for most of pulmonary infection recently after renal transplantation.However,mixed infection played main role in pulmonary infection at later peroid.All 21 patients had the clinical manifestation of fever,cough,short breath or cyanosis.All of them had the chest-X-ray or CT manifestation of matrix change at early stage,among 18 patients finally developped to white lungs.All of them recovered after colligated therapy.Conclusion:Stopping the use of immunosuppressants,nutritional support and taking mechanical ventilation as soon as possible were of the most importance among the colligated therapy.