Shennib H, Adoumie R, Noirclerc M
Joint Marseille-Montreal Lung Transplant Program, Montreal General Hospital, Quebec, Canada.
Arch Intern Med. 1992 Aug;152(8):1585-8.
Lung transplantation has emerged as an acceptable option for the management of cystic fibrosis patients with endstage lung disease. Heart-lung transplantation and, more recently, double lung transplantation have been successfully performed in this group of patients. The choice of operation, so far, has been based on the surgeon's preference and experience as well as the cardiac function of the patient. Each of the procedures has advantages and disadvantages. This article reviews the current worldwide experience in lung transplantation for patients with cystic fibrosis and highlights the controversies involved in the selection of patients and procedure.
肺移植已成为治疗终末期肺病囊性纤维化患者的一种可接受的选择。心肺移植以及最近的双肺移植已在这组患者中成功实施。迄今为止，手术方式的选择基于外科医生的偏好和经验以及患者的心脏功能。每种手术方式都有其优缺点。本文回顾了目前全球范围内针对囊性纤维化患者进行肺移植的经验，并强调了患者选择和手术方式选择中存在的争议。
