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| 单肺移植围术期的监护与处理 (附1例报告) | |
| 引用本文： | 张昌明,张铸,伊力亚尔·夏合丁,王再义,徐思成,陈静瑜,朱艳红,吴明拜,库尔班·赛来,张力为,朱辉,李德生,邓彦超.单肺移植围术期的监护与处理 (附1例报告)[J].新疆医科大学学报,2005,28(11):1037-1039. |
| 作者姓名： | 张昌明 张铸 伊力亚尔·夏合丁 王再义 徐思成 陈静瑜 朱艳红 吴明拜 库尔班·赛来 张力为 朱辉 李德生 邓彦超 |
| 作者单位： | 1. 新疆医科大学第一附属医院胸外科,新疆,乌鲁木齐,830054 2. 新疆医科大学第一附属医院ICU,新疆,乌鲁木齐,830054 3. 江苏省无锡市第五人民医院胸外科,江苏,无锡,214073 4. 江苏省无锡市第五人民医院ICU,江苏,无锡,214073 |
| 摘 要： | 目的：探讨肺移植治疗特发性肺纤维化的围手术期处理要点。方法：对1例双侧特发性肺纤维化伴肺大疱、肺功能重度减损的患者进行左肺移植。结果：术后7d顺利脱机拔管，术后15d胸部CT检查显示左肺扩张良好，左肺血液灌注良好，术后肺功能明显改善，围手术期未发生急性排斥反应，术后49d出院。结论：充分的术前准备、周密的手术方案、术后严密的监测和及时处理是肺移植手术成功的关键。 |
| 关 键 词： | 肺移植 特发性肺纤维化 围手术期 |
| 文章编号： | 1009-5551(2005)11-1037-03 |
| 收稿时间： | 2005-07-14 |
| 修稿时间： | 2005年7月14日 |
The perioperative management of lung transplantation:a case report |
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| Institution: | Department of Throracic Surgery, First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China |
| Abstract: | Objective: To explore the perioperative management of lung transplantation in idiopathic pulmonary fibrosis. Methods: A 53-year old man with the idiopathic pulmonary fibrosis was accepted a left lung transplantation in our hospital on Apr 11,2005. Results: The patient breaked away ventilator on post-operation day 7, the acute rejection and serious infection were not occurred in the perioperative period. The patient's lung function was improved significantly and discharged from hospital 49 days after operation. Conclusions: The key points of operation are full preparation in preoperation, thoughtful plan in operation, strict supervision and management after operation. |
| Keywords: | lung transplantation idiopathic pulmonary fibrosis perioperative period |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |