MANAGEMENT OF DYSFUNCTION IN THE TRANSPLANTED LUNG - EXPERIENCE WITH 7 CLINICAL CASES

被引：62

作者：

HAYDOCK, DA ^{[1
]}

TRULOCK, EP ^{[1
]}

KAISER, LR ^{[1
]}

KNIGHT, SR ^{[1
]}

PASQUE, MK ^{[1
]}

COOPER, JD ^{[1
]}

机构：

[1] WASHINGTON UNIV,SCH MED,DEPT SURG,DIV CARDIOTHORAC SURG,SUITE 3108,QUEENY TOWER,ST LOUIS,MO 63110

来源：

ANNALS OF THORACIC SURGERY | 1992年 / 53卷 / 04期

关键词：

D O I：

10.1016/0003-4975(92)90324-W

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In a series of 34 lung transplant patients, donor lung dysfunction occurred on 7 occasions. One patient underwent retransplantation and the remaining 6 were treated conservatively. Survival was 100% in the donor lung dysfunction group. Percent predicted forced expiratory volume in 1 second, carbon monoxide diffusion, room air oxygen tension, and distance walked in 6 minutes were all lower (p < 0.05) at 1 month after transplantation in those patients with donor lung dysfunction as compared with those without. These differences were not significant at 3 months after transplantation. We conclude that donor lung dysfunction can usually be managed conservatively with satisfactory results. Longer follow-up of this group of patients will be necessary to determine the long-term consequences of early graft injury.

引用

页码：635 / 641

页数：7