肺移植术后新型冠状病毒感染四例

COVID-19 after lung transplantation:Four case reports

2022年12月—2023年1月4例肺移植受者(男3例、女1例,年龄52~60岁,接受移植手术均<1年)术后因新型冠状病毒(新冠)肺炎就诊于西安交通大学第一附属医院胸外科。临床表现多为体温升高伴有气促,心率、血氧饱和度、氧合指数等指标可反映病情的严重程度。根据情况及时调整免疫抑制药物、升级氧疗方式、抗细菌抗真菌、俯卧位通气、一般治疗及抗凝治疗等。最终3例患者治愈后出院,1例死亡。

From December 2022 to January 2023,4 lung transplant recipients(3 males and 1 female,aged 52-60 years,all received transplantation less than 1 year)were hospitalized in the Department of Thoracic Surgery of the First Affiliated Hospital of Xi'an Jiaotong University due to COVID-19 after surgery.The clinical manifestations were mostly characterized by elevated body temperature accompanied by shortness of breath,and indicators such as heart rate,oxygen saturation,and oxygenation index could reflect the severity of the condition.The therapy was timely adjusted to immunosuppressive drugs,upgraded oxygen therapy,anti-bacterial and anti-fungal therapy,prone ventilation,general treatment,and anticoagulant therapy,depending on the situation.Finally,3 patients were cured and discharged from hospital,and 1 died.