人体右侧单肺移植围术期处理一例

Perioperative Management of Right Single Lung Transplantation: A Report of One Case

探讨肺移植术的围术期处理，提高肺移植患者的生存率。方法对慢性阻塞性肺病（ＣＯＰＤ）合并右上肺癌（Ｔ１Ｎ０Ｍ０）患者施行了右侧单肺移植。结果患者术后恢复顺利，３天后经口进食，７天后能在室内步行３００～５００米。术后第９天和２１天发生两次急性排斥反应，均采用甲基强的松龙冲击治疗后好转。术后４８天死于肺部感染与多器官功能衰竭。结论肺移植术围术期处理对患者肺移植后的近。

Objective To report the experience of perioperative management of single lung transplantation. Methods A single right lung transplantation was performed on a COPD patient with primary pulmonary carcinoma (T1N0M0) in August 1996. Results Postoperative recovery of the patient was good. Three days after operation the patient could take soft foods and at the seventh day postoperative, he could walk about 300-500 meters in the room. Two episodes of acute rejection occured at the 9th and 21st day respectively and was successfully treated with mithylprednisolone. Conclusion The patient died of pulmonary infection and multiple organ failure at the 48th day postoperative day.