García Río F J, García Talavera I, Vázquez M, Villasante C
Servicio de Neumología, Hospital La Paz, Madrid.
Rev Clin Esp. 1992 Feb;190(2):85-9.
Lung transplant has started to develop clinically during the last decade being a valid alternative for a great number of pulmonary diseases. A review of the three types of transplant is presented: single lung, double lung, and heart-lung transplant. We specially point out the indications of those surgical procedures. Furthermore, we expose the attitude towards most of the post-surgery problems: post-surgical follow up, immunosuppression therapy, diagnosis and treatment of graft rejection, main opportunistic infections as well as obliterans bronchiolitis, which is the long term most important complication.
在过去十年中,肺移植已开始在临床上得到发展,成为许多肺部疾病的有效替代方案。本文综述了三种移植类型:单肺移植、双肺移植和心肺移植。我们特别指出了这些外科手术的适应症。此外,我们阐述了对大多数术后问题的处理态度:术后随访、免疫抑制治疗、移植排斥反应的诊断和治疗、主要的机会性感染以及细支气管闭塞症,这是长期最重要的并发症。