Mohite Prashant N, Sabashnikov Anton, Popov Aron-Frederik, Zeriouh Mohamed, Fatullayev Javid, Capoccia Massimo, Amrani Mohamed, Carby Martin, Simon André R
From the Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, Harefield, London, United Kingdom.
Exp Clin Transplant. 2018 Feb;16(1):107-109. doi: 10.6002/ect.2015.0309. Epub 2017 Jan 31.
Closure of the chest after lung transplant in cases of oversized grafts is often difficult. Lung volume reduction and delayed closure of the chest with Bogota bag are the only options available in such situations. Here, we propose to keep the sternum and intercostal spaces open and approximate skin over it. Once lung function improves and reperfusion-related edema recovers, the chest can be closed.
对于移植肺过大的病例，肺移植术后关闭胸腔往往很困难。在这种情况下，减少肺容积并用波哥大袋延迟关闭胸腔是仅有的可行选择。在此，我们建议保持胸骨和肋间间隙开放，并使上方的皮肤对合。一旦肺功能改善且再灌注相关水肿消退，即可关闭胸腔。
