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肺移植后的气道并发症

Airway complications following lung transplantation.

作者信息

Jindal Apar, Avasaral Sameer, Grewal Harpreet, Mehta Atul

机构信息

Yashoda Hospital, Hyderabad, India.

Case Western University, Cleveland, OH USA.

出版信息

Indian J Thorac Cardiovasc Surg. 2022 Jul;38(Suppl 2):326-334. doi: 10.1007/s12055-022-01376-5. Epub 2022 Jun 1.

Abstract

Airway complications post lung transplant account for significant morbidity (between 2 and 18%) and mortality (2 to 4%). The commonly encountered airway complications include necrosis and dehiscence, exophytic granulation tissue, bronchial stenosis, tracheo-broncho-malacia, bronchial fistulae, and airway infections. With growing experience in surveillance bronchoscopy post lung transplant and availability of advanced endobronchial interventional therapies, better management of lung transplant recipients is now possible. In this article, we review the various contributing factors, clinical manifestations, diagnostic modalities, and treatment options for post lung transplant airway complications.

摘要

肺移植术后气道并发症导致显著的发病率(2%至18%)和死亡率(2%至4%)。常见的气道并发症包括坏死与裂开、外生性肉芽组织、支气管狭窄、气管支气管软化、支气管瘘和气道感染。随着肺移植术后监测支气管镜检查经验的增加以及先进的支气管内介入治疗方法的出现,现在有可能对肺移植受者进行更好的管理。在本文中,我们综述了肺移植术后气道并发症的各种促成因素、临床表现、诊断方法和治疗选择。

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