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Bronchial anastomosis and treatment of airway complication of allogeneic lung transplantation
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- Author:
- No author available
- Journal Title:
- CHINA MEDICINE
- Issue:
- 3
- DOI:
- 10.3760/cma.j.issn.1673-4777.2006.03.001
- Key Word:
- 同种异体肺移植;支气管吻合术;气道并发症
Abstract： 目的 探讨同种异体肺移植手术过程中供、受体支气管的吻合方法以及气道并发症的防治措施.方法 对11例患者行肺移植手术,其中单肺移植6例,双肺移植5例;肺淋巴管平滑肌瘤病3例,弥漫性肺纤维化2例,矽肺2例,支气管扩张症1例,慢性阻塞性肺疾病3例.供、受体支气管的吻合采用套叠缝合法,并以肋间肌、支气管周围组织和心包脂肪组织包盖.结果 术后早期吻合口裂开发生率为0;远期发生气道并发症2例,气道并发症发生率为18%.1例术后4月死亡,1例经治疗好转并随访中.结论 供、受体支气管的吻合及气道并发症的防治是决定肺移植手术成功与否的关键因素;支气管套叠缝合法避免了早期气道并发症的发生;排异反应和感染是肺移植术后气道并发症发生的主要原因;支气管镜的检查和治疗在肺移植气道并发症的防治中起着重要作用.
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