单中心肺移植围手术期治疗经验总结  

Experience of perioperative treatment of lung transplantation in a single institute

作　　者：江文洋[1] 耿庆[1] 王博 胡海丰[1] 朱铁源[1] 张兴华[1] 林慧庆[1] 康敢军[1] 黄杰[1] JIANG Wenyang;GENG Qing;WANG Bo(Department of Thoracic Surgery,Renmin Hospital of Wuhan University,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院胸外科,430060

出　　处：《临床外科杂志》2020年第3期247-249,共3页Journal of Clinical Surgery

基　　金：国家自然科学基金面上资助项目(81770095);国家自然科学基金青年资助项目(81700093)。

摘　　要：目的探讨肺移植对终末期肺病的治疗效果,总结肺移植围手术期治疗经验。方法 2016年12月~2019年9月间肺移植围手术期病人13例,回顾性分析其临床资料。结果主要诊断为慢性阻塞性肺疾病、特发性肺纤维化各4例,支气管扩张3例,尘肺1例,Kartagener综合征1例。手术方式为双肺移植7例,左单肺3例,右单肺3例。围手术期死亡3例,死因分别为鲍曼不动杆菌合并铜绿假单胞菌感染1例,肺炎克雷伯菌感染1例,心跳骤停1例;余10例均治愈出院。结论肺移植是治疗终末期肺病的有效方法,急诊抢救性手术效果不佳。Objective To explore the therapeutic effect of lung transplantation for end-stage lung diseases,and to summarize the experience of perioperative treatment of lung transplantation.Methods The perioperative period clinical data of 13 cases of lung transplantation between December 2016 and September 2019 were analyzed retrospectively.Results The main diagnosis was chronic obstructive pulmonary disease and idiopathic pulmonary fibrosis in 4 cases,respectively,and bronchiectasis in 3 cases.There was 1 case of pneumoconiosis and 1 case of Kartagener syndrome.7 cases underwent bilateral lung transplantation,3 cases received left unilateral lung transplantation and 3 cases received right unilateral lung transplantation.There were 3 deaths during perioperative period.The cause of death was Acinetobacter Baumannii combined with Pseudomonas Aeruginosa infection in 1 case,Klebsiella Pneumoniae infection in 1 case,and 1 case was dead of cardiac arrest.The remaining 10 cases were cured and discharged.Conclusion Lung transplantation is an effective method for the treatment of end-stage lung diseases.The emergency salvage surgery has little effect.

关 键 词：肺移植 围手术期 

分 类 号：R655.3[医药卫生—外科学]