Matsushima S, Tamura K, Shoji T, Montefusco C M, Veith F J
Second Department of Surgery, Nippon Medical School.
Kyobu Geka. 1991 Nov;44(12):1006-9.
Several factors influence pulmonary hemodynamics after lung transplantation: reimplantation response, lung rejection reaction and imperfect anastomosis technique. In this experiment, five cases presented marked elevation of mean pulmonary artery pressure at the time or right pulmonary artery occlusion test performed two weeks postoperatively. Left atrial cuff rejection reaction arose in one case in which edema and stenosis of the pulmonary vein outflow tract were evidenced. This finding demonstrated that the changes in pulmonary hemodynamics after transplant suggest the possibility of inducement by left atrial cuff rejection reaction.
再灌注反应、肺排斥反应和不完善的吻合技术。在本实验中,5例在术后两周进行右肺动脉闭塞试验时出现平均肺动脉压显著升高。1例出现左心房袖套排斥反应,表现为肺静脉流出道水肿和狭窄。这一发现表明,移植后肺血流动力学的变化提示左心房袖套排斥反应可能是其诱发因素。