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Pulmonary Complications of Pediatric Hematopoietic Cell Transplantation. A National Institutes of Health Workshop Summary.儿童造血细胞移植的肺部并发症。美国国立卫生研究院研讨会总结。
Ann Am Thorac Soc. 2021 Mar;18(3):381-394. doi: 10.1513/AnnalsATS.202001-006OT.
2
National Institutes of Health Hematopoietic Cell Transplantation Late Effects Initiative: The Patient-Centered Outcomes Working Group Report.美国国立卫生研究院造血细胞移植迟发效应倡议:以患者为中心的结局工作组报告。
Biol Blood Marrow Transplant. 2017 Apr;23(4):538-551. doi: 10.1016/j.bbmt.2016.09.011. Epub 2016 Sep 19.
3
National Institutes of Health Hematopoietic Cell Transplantation Late Effects Initiative: Developing Recommendations to Improve Survivorship and Long-Term Outcomes.美国国立卫生研究院造血细胞移植迟发效应倡议:制定改善生存及长期预后的建议。
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Pulmonary Complications in Pediatric and Adolescent Patients Following Allogeneic Hematopoietic Cell Transplantation.异基因造血细胞移植后儿科和青少年患者的肺部并发症。
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Pediatric Acute Respiratory Distress Syndrome in Pediatric Allogeneic Hematopoietic Stem Cell Transplants: A Multicenter Study.儿科异基因造血干细胞移植中的小儿急性呼吸窘迫综合征:一项多中心研究
Pediatr Crit Care Med. 2017 Apr;18(4):304-309. doi: 10.1097/PCC.0000000000001061.
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National Institutes of Health Hematopoietic Cell Transplantation Late Effects Initiative: The Research Methodology and Study Design Working Group Report.美国国立卫生研究院造血细胞移植迟发效应倡议:研究方法与研究设计工作组报告
Biol Blood Marrow Transplant. 2017 Jan;23(1):10-23. doi: 10.1016/j.bbmt.2016.08.018. Epub 2016 Aug 30.
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Epidemiology of Acute Respiratory Distress Syndrome Following Hematopoietic Stem Cell Transplantation.造血干细胞移植后急性呼吸窘迫综合征的流行病学
Crit Care Med. 2016 Jun;44(6):1082-90. doi: 10.1097/CCM.0000000000001617.
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Long-Term Morbidity and Mortality in Children with Chronic Graft-versus-Host Disease Classified by National Institutes of Health Consensus Criteria after Allogeneic Hematopoietic Stem Cell Transplantation.异基因造血干细胞移植后根据美国国立卫生研究院共识标准分类的慢性移植物抗宿主病患儿的长期发病率和死亡率
Biol Blood Marrow Transplant. 2015 Nov;21(11):1973-80. doi: 10.1016/j.bbmt.2015.07.025. Epub 2015 Jul 31.
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Challenges and opportunities for international cooperative studies in pediatric hematopoeitic cell transplantation: priorities of the Westhafen Intercontinental Group.儿科造血细胞移植国际合作研究的挑战与机遇:威斯特法伦洲际组的优先事项。
Biol Blood Marrow Transplant. 2013 Sep;19(9):1279-87. doi: 10.1016/j.bbmt.2013.07.006. Epub 2013 Jul 21.
10
National Cancer Institute, National Heart, Lung and Blood Institute/Pediatric Blood and Marrow Transplantation Consortium First International Consensus Conference on late effects after pediatric hematopoietic cell transplantation: the need for pediatric-specific long-term follow-up guidelines.美国国家癌症研究所、国家心肺血液研究所/儿科血液与骨髓移植协会第一届国际儿童造血细胞移植后晚期效应共识会议:制定儿科特定的长期随访指南的必要性。
Biol Blood Marrow Transplant. 2012 Mar;18(3):334-47. doi: 10.1016/j.bbmt.2012.01.003. Epub 2012 Jan 14.

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Pulmonary function testing in pediatric allogeneic stem cell transplant recipients to monitor for Bronchiolitis obliterans syndrome: a systematic review.小儿异基因干细胞移植受者中用于监测闭塞性细支气管炎综合征的肺功能测试:一项系统评价
BMC Pediatr. 2025 Mar 28;25(1):250. doi: 10.1186/s12887-025-05501-2.
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Pediatric Transplant and Cellular Therapy Consortium RESILIENT Conference on Pediatric Chronic Graft-Versus-Host Disease Survivorship After Hematopoietic Cell Transplantation: Part I. Phases of Chronic GVHD, Supportive Care, and Systemic Therapy Discontinuation.儿科移植与细胞治疗联盟造血细胞移植后儿科慢性移植物抗宿主病生存的RESILIENT会议:第一部分。慢性移植物抗宿主病的阶段、支持治疗和全身治疗的中断
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Hematology Am Soc Hematol Educ Program. 2023 Dec 8;2023(1):149-154. doi: 10.1182/hematology.2023000425.

本文引用的文献

1
Outcomes of pediatric patients with oncologic disease or following hematopoietic stem cell transplant supported on extracorporeal membrane oxygenation: The PEDECOR experience.体外膜肺氧合支持下的儿科肿瘤或造血干细胞移植患者的结局:PEDECOR 经验。
Pediatr Blood Cancer. 2020 Oct;67(10):e28403. doi: 10.1002/pbc.28403. Epub 2020 Jun 9.
2
Azithromycin Use and Increased Cancer Risk among Patients with Bronchiolitis Obliterans after Hematopoietic Cell Transplantation.造血细胞移植后闭塞性细支气管炎患者使用阿奇霉素与癌症风险增加
Biol Blood Marrow Transplant. 2020 Feb;26(2):392-400. doi: 10.1016/j.bbmt.2019.10.025. Epub 2019 Nov 1.
3
Comprehensive Prognostication in Critically Ill Pediatric Hematopoietic Cell Transplant Patients: Results from Merging the Center for International Blood and Marrow Transplant Research (CIBMTR) and Virtual Pediatric Systems (VPS) Registries.危重症儿科造血细胞移植患者的综合预后评估:合并国际血液和骨髓移植研究中心(CIBMTR)与虚拟儿科系统(VPS)登记数据的结果
Biol Blood Marrow Transplant. 2020 Feb;26(2):333-342. doi: 10.1016/j.bbmt.2019.09.027. Epub 2019 Sep 26.
4
Ruxolitinib is an effective steroid sparing agent in bronchiolitis obliterans due to chronic graft-versus-host-disease.芦可替尼是一种有效的、可减少类固醇用量的药物,用于治疗慢性移植物抗宿主病所致的闭塞性细支气管炎。
Bone Marrow Transplant. 2020 Jun;55(6):1194-1196. doi: 10.1038/s41409-019-0662-6. Epub 2019 Sep 4.
5
Therapeutic Impact and Complications Associated with Surgical Lung Biopsy after Allogeneic Hematopoietic Stem Cell Transplantation in Children.异基因造血干细胞移植后儿童外科肺活检的治疗效果及相关并发症。
Biol Blood Marrow Transplant. 2019 Nov;25(11):2181-2185. doi: 10.1016/j.bbmt.2019.06.026. Epub 2019 Jun 28.
6
Pulmonary Complications in Pediatric and Adolescent Patients Following Allogeneic Hematopoietic Cell Transplantation.异基因造血细胞移植后儿科和青少年患者的肺部并发症。
Biol Blood Marrow Transplant. 2019 Oct;25(10):2024-2030. doi: 10.1016/j.bbmt.2019.06.004. Epub 2019 Jun 12.
7
Outcomes of pediatric oncology and hematopoietic cell transplant patients receiving extracorporeal membrane oxygenation.接受体外膜肺氧合治疗的儿科肿瘤学和造血细胞移植患者的治疗结果。
Perfusion. 2019 Oct;34(7):598-604. doi: 10.1177/0267659119842471. Epub 2019 Apr 24.
8
Xenon-129 MRI detects ventilation deficits in paediatric stem cell transplant patients unable to perform spirometry.氙气-129 MRI 检测无法进行肺量测定的小儿干细胞移植患者的通气不足。
Eur Respir J. 2019 May 2;53(5). doi: 10.1183/13993003.01779-2018. Print 2019 May.
9
Lung Microbiota Contribute to Pulmonary Inflammation and Disease Progression in Pulmonary Fibrosis.肺部微生物组促进肺纤维化中的肺部炎症和疾病进展。
Am J Respir Crit Care Med. 2019 May 1;199(9):1127-1138. doi: 10.1164/rccm.201809-1650OC.
10
First-Onset Herpesviral Infection and Lung Injury in Allogeneic Hematopoietic Cell Transplantation.异基因造血细胞移植后初次单纯疱疹病毒感染与肺部损伤
Am J Respir Crit Care Med. 2019 Jul 1;200(1):63-74. doi: 10.1164/rccm.201809-1635OC.

儿童造血细胞移植的肺部并发症。美国国立卫生研究院研讨会总结。

Pulmonary Complications of Pediatric Hematopoietic Cell Transplantation. A National Institutes of Health Workshop Summary.

机构信息

Eunice Kennedy Shriver National Institutes of Child Health and Human Development, Bethesda, Maryland.

Department of Oncology, Pediatric Blood and Marrow Transplantation Program, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland.

出版信息

Ann Am Thorac Soc. 2021 Mar;18(3):381-394. doi: 10.1513/AnnalsATS.202001-006OT.

DOI:10.1513/AnnalsATS.202001-006OT
PMID:33058742
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7919149/
Abstract

Approximately 2,500 pediatric hematopoietic cell transplants (HCTs), most of which are allogeneic, are performed annually in the United States for life-threatening malignant and nonmalignant conditions. Although HCT is undertaken with curative intent, post-HCT complications limit successful outcomes, with pulmonary dysfunction representing the leading cause of nonrelapse mortality. To better understand, predict, prevent, and/or treat pulmonary complications after HCT, a multidisciplinary group of 33 experts met in a 2-day National Institutes of Health Workshop to identify knowledge gaps and research strategies most likely to improve outcomes. This summary of Workshop deliberations outlines the consensus focus areas for future research.

摘要

每年,美国大约要进行 2500 例儿科造血细胞移植(HCT),其中大多数为异基因 HCT,用于治疗危及生命的恶性和非恶性疾病。尽管 HCT 是带着治愈的目的进行的,但移植后的并发症限制了成功的结果,肺部功能障碍是导致非复发死亡的主要原因。为了更好地理解、预测、预防和/或治疗 HCT 后的肺部并发症,一个由 33 名专家组成的多学科小组在为期两天的美国国立卫生研究院研讨会上会面,以确定最有可能改善结果的知识空白和研究策略。本研讨会审议摘要概述了未来研究的共识重点领域。