Evaluation of Mechanical Ventilation for Patients with Acute Respiratory Distress Syndrome Caused by Pneumocystis Carinii After Renal Transplantation

Objective: To evaluate the clinical value of mechanical ventilation for patients with acute respiratory distress syndrome(ARDS) caused by pneumocystis carinii pneumonia(PCP) after renal transplantation.Methods: A total of 9 cases of ARDS caused by PCP after renal transplantation were studied retrospectively.Mechanical ventilation was applied in all the 9 patients on base of combined therapy,and clinical effect were observed.Results: Seven cases recovered and two cased died,and the death rate were 22.22%.The PaO2,PaO2/FiO2,and respiratory rate were improved in all patients after mechanical ventilation for 2,12,24,48,and 72 hours.Conclusion: The mechanical ventilation was important to treat patient with ARDS caused by PCP after kidney transplantation because it could correct hypoxemia quickly and ensure oxygen pressure in artery blood in order to win time to cure primary disease.