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单肺移植中以闭塞性细支气管炎为表现的慢性排斥反应。

Chronic rejection in single-lung transplantation manifested by obliterative bronchiolitis.

作者信息

LoCicero J, Robinson P G, Fisher M

机构信息

Department of Surgery, Northwestern University Medical School, Chicago, Ill. 60611-3008.

出版信息

J Thorac Cardiovasc Surg. 1990 Jun;99(6):1059-62.

PMID:2359323
Abstract

Chronic rejection of the lung in patients with heart-lung transplants has most often been associated with the development of obliterative bronchiolitis. Previously only one patient receiving a single-lung transplant suffered from the development of this problem. We describe a patient whose obliterative bronchiolitis developed 9 months after single-lung transplantation. Progressive deterioration occurred until his death from obliterative bronchiolitis at 21 months after transplantation. The functional and histologic changes are described and the possible mechanisms discussed.

摘要

心肺移植患者的慢性肺排斥反应最常与闭塞性细支气管炎的发展相关。此前仅有一名接受单肺移植的患者出现了这个问题。我们描述了一名患者,其闭塞性细支气管炎在单肺移植9个月后发生。病情逐渐恶化,直至移植后21个月因闭塞性细支气管炎死亡。文中描述了其功能和组织学变化,并讨论了可能的机制。

相似文献

1
Chronic rejection in single-lung transplantation manifested by obliterative bronchiolitis.单肺移植中以闭塞性细支气管炎为表现的慢性排斥反应。
J Thorac Cardiovasc Surg. 1990 Jun;99(6):1059-62.
2
Lung transplant rejection: obliterative bronchiolitis.肺移植排斥反应:闭塞性细支气管炎
Am J Crit Care. 1996 Sep;5(5):366-72.
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Risk factors for the development of obliterative bronchiolitis after lung transplantation.肺移植后闭塞性细支气管炎发生的危险因素。
J Heart Lung Transplant. 1996 Dec;15(12):1200-8.
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[Post-lung transplantation bronchiolitis obliterans].[肺移植术后闭塞性细支气管炎]
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Obliterative bronchiolitis or chronic lung allograft rejection: a basic science review.闭塞性细支气管炎或慢性肺移植排斥反应:基础科学综述
J Heart Lung Transplant. 2005 Jan;24(1):3-19. doi: 10.1016/j.healun.2004.01.009.
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Organizing pneumonia following pulmonary transplantation and the development of obliterative bronchiolitis.肺移植后机化性肺炎与闭塞性细支气管炎的发生
Transplantation. 1994 Jun 27;57(12):1757-62.
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The diagnosis of obliterative bronchiolitis after heart-lung and lung transplantation: low yield of transbronchial lung biopsy.心肺移植和肺移植后闭塞性细支气管炎的诊断:经支气管肺活检的阳性率低。
J Heart Lung Transplant. 1993 Jul-Aug;12(4):675-81.
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Incidence of obliterative bronchiolitis after heart-lung transplantation in children.儿童心肺移植术后闭塞性细支气管炎的发病率。
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Physiologic definitions of obliterative bronchiolitis in heart-lung and double lung transplantation: a comparison of the forced expiratory flow between 25% and 75% of the forced vital capacity and forced expiratory volume in one second.心肺移植和双肺移植中闭塞性细支气管炎的生理学定义:用力肺活量25%至75%之间的用力呼气流量与一秒用力呼气量的比较。
J Heart Lung Transplant. 1996 Feb;15(2):175-81.
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Obliterative bronchiolitis in lung allografts removed at retransplant for intractable airway problems.因顽固性气道问题在再次移植时切除的肺移植受者中的闭塞性细支气管炎。
Respirology. 2009 May;14(4):601-5. doi: 10.1111/j.1440-1843.2009.01513.x. Epub 2009 Mar 25.

引用本文的文献

1
Lung and heart-lung transplantation. Evolution and new applications.肺与心肺移植。进展与新应用。
Ann Surg. 1991 Oct;214(4):456-68; discussion 469-70. doi: 10.1097/00000658-199110000-00010.