Iannaccone R, Tiberti A C
II Cattedra, Università La Sapienza, Policlinico Umberto I, Roma.
Recenti Prog Med. 2000 Sep;91(9):455-60.
In spite of improvements in the surgical technique of lung transplantation, early and late complications after surgery are not uncommon. The authors review the clinical aspects and radiological findings of these complications, including reperfusion edema, acute rejection, infections, airway complications, vascular complications, pleural complications, chronic rejection, omentopexy complications, transbronchial biopsy complications, post-transplantation lymphoproliferative disease and recurrence of the primitive disease. Early detection of these complications is important for early appropriate treatment, resulting in the decrease in morbidity and mortality of the transplanted patients.
尽管肺移植手术技术有所改进,但术后早期和晚期并发症并不罕见。作者回顾了这些并发症的临床情况和影像学表现,包括再灌注水肿、急性排斥反应、感染、气道并发症、血管并发症、胸膜并发症、慢性排斥反应、网膜固定术并发症、经支气管活检并发症、移植后淋巴细胞增生性疾病以及原发病复发。早期发现这些并发症对于早期进行适当治疗很重要,可降低移植患者的发病率和死亡率。