Shaw I H, Kirk A J, Conacher I D
Department of Anaesthetics and Intensive Care, Newcastle General Hospital, Newcastle upon Tyne.
Br J Anaesth. 1991 Dec;67(6):772-8. doi: 10.1093/bja/67.6.772.
Heart and lung transplantation is now accepted as a means of treating some end-stage cardiopulmonary diseases. These patients may present with a wide variety of non-cardiopulmonary conditions requiring anaesthesia and surgery, possibly at a place distant from their original transplant centre. In general, for much elective, acute or even emergency surgery, if the allograft is functioning satisfactorily, these patients should present few problems during anaesthesia, provided the anaesthetist has some understanding of the pathophysiology of the transplanted organ and recognizes the differences (potential and specific to cardiopulmonary transplantation) between such patients and any other subject.
心肺移植如今已被公认为治疗某些终末期心肺疾病的一种手段。这些患者可能伴有多种需要麻醉和手术的非心肺疾病，手术地点甚至可能远离他们原来的移植中心。一般来说，对于大多数择期、急性甚至急诊手术，如果移植器官功能良好，只要麻醉医生对移植器官的病理生理学有所了解，并认识到这类患者与其他患者之间的差异（心肺移植特有的潜在差异），那么这些患者在麻醉过程中应该不会出现太多问题。
