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中华重症医学电子杂志 ›› 2017, Vol. 03 ›› Issue (02) : 91 -93. doi: 10.3877/cma.j.issn.2096-1537.2017.02.003

所属专题: 重症医学 文献

专题笔谈

肺移植术后患者在重症监护病房的处理
许红阳1,(), 陈静瑜1, 邱海波2   
  1. 1. 214023 南京医科大学附属无锡人民医院心肺诊疗中心
    2. 210009 南京,东南大学附属中大医院重症医学科
  • 收稿日期:2017-02-14 出版日期:2017-05-28
  • 通信作者: 许红阳

ICU care after lung transplantation

Hongyang Xu1,(), Jingyu Chen1, Haibo Qiu2   

  1. 1. Center of heart and lung, Wuxi People′s Hospital Affiliated to Nanjing Medical University, Wuxi 214023, China
    2. Department of Critical Care Medicine, Zhongda Hospital Southeast University, Nanjing 21009, China
  • Received:2017-02-14 Published:2017-05-28
  • Corresponding author: Hongyang Xu
  • About author:
    Corresponding author: Xu Hongyang, Email:
引用本文:

许红阳, 陈静瑜, 邱海波. 肺移植术后患者在重症监护病房的处理[J/OL]. 中华重症医学电子杂志, 2017, 03(02): 91-93.

Hongyang Xu, Jingyu Chen, Haibo Qiu. ICU care after lung transplantation[J/OL]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2017, 03(02): 91-93.

肺移植已经成为终末期良性肺疾病治疗的有效方法。随着器官获取技术的改进、器官的保存、外科技术的进步,手术成功率已经有明显提高。而肺是与外界相通的唯一实体移植器官,术后影响因素较多,有其独特的术后并发症。早期有原发性移植物失功、感染、急性排异等并发症。术后严格管理尤其是在重症监护病房(ICU)期间规范化的管理对减少这些并发症,提高治疗效果是非常重要的。随着移植需求的剧增,ICU医师需熟悉患者移植术后在ICU所面临的问题。

Lung transplantation (LTx) has become an effective therapy method for carefully selected patients with end-stage lung disease. With the improvement of organ harvesting technology, organ preservation and surgical technology, the success rate of surgery has been significantly improved. Whlie the lung is the only entity transplanted which connects with the outside world, there are virous factors that associated with the post-operative complications. Primary graft dysfunction, infection and acute rejection are major complication in the early stage after surgery. Standardized and precise management after operation, especially in the intensive care unit (ICU) is important to prevent post-operative complications of LTx and improve the outcome. With the increasing demand for transplantation, intensivists need to be familiar with the problems after LTx.

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