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本文引用的文献

1
Risk assessment of chronic lung allograft dysfunction phenotypes: Validation and proposed refinement of the 2019 International Society for Heart and Lung Transplantation classification system.慢性肺移植功能障碍表型的风险评估:2019 年国际心肺移植学会分类系统的验证和提出的改进。
J Heart Lung Transplant. 2020 Aug;39(8):761-770. doi: 10.1016/j.healun.2020.04.012. Epub 2020 Apr 19.
2
Use of CT-SCAN score and volume measures to early identify restrictive allograft syndrome in single lung transplant recipients.使用CT扫描评分和容积测量法早期识别单肺移植受者的限制性同种异体移植综合征。
J Heart Lung Transplant. 2020 Feb;39(2):125-133. doi: 10.1016/j.healun.2019.11.008. Epub 2019 Nov 25.
3
The International Thoracic Organ Transplant Registry of the International Society for Heart and Lung Transplantation: Thirty-sixth adult lung and heart-lung transplantation Report-2019; Focus theme: Donor and recipient size match.国际心肺移植学会国际胸科器官移植登记处:2019年第36份成人肺移植和心肺联合移植报告;重点主题:供受者大小匹配
J Heart Lung Transplant. 2019 Oct;38(10):1042-1055. doi: 10.1016/j.healun.2019.08.001. Epub 2019 Aug 8.
4
Rabbit antithymocyte globulin for the treatment of chronic lung allograft dysfunction.兔抗胸腺细胞球蛋白用于治疗慢性肺移植功能障碍。
Clin Transplant. 2019 Oct;33(10):e13708. doi: 10.1111/ctr.13708. Epub 2019 Sep 17.
5
Survival Associated With Sirolimus Plus Tacrolimus Maintenance Without Induction Therapy Compared With Standard Immunosuppression After Lung Transplant.与标准免疫抑制相比,肺移植后不使用诱导治疗的西罗莫司联合他克莫司维持治疗与存活率相关。
JAMA Netw Open. 2019 Aug 2;2(8):e1910297. doi: 10.1001/jamanetworkopen.2019.10297.
6
Lung Density Analysis Using Quantitative Chest CT for Early Prediction of Chronic Lung Allograft Dysfunction.使用定量胸部 CT 进行肺密度分析,以早期预测慢性肺移植功能障碍。
Transplantation. 2019 Dec;103(12):2645-2653. doi: 10.1097/TP.0000000000002771.
7
Chronic lung allograft dysfunction: Definition, diagnostic criteria, and approaches to treatment-A consensus report from the Pulmonary Council of the ISHLT.慢性肺移植功能障碍:定义、诊断标准及治疗方法——国际心肺移植学会肺委员会共识报告
J Heart Lung Transplant. 2019 May;38(5):493-503. doi: 10.1016/j.healun.2019.03.009. Epub 2019 Apr 3.
8
Pirfenidone exerts beneficial effects in patients with IPF undergoing single lung transplantation.吡非尼酮对接受单肺移植的特发性肺纤维化患者具有有益作用。
Am J Transplant. 2019 Aug;19(8):2358-2365. doi: 10.1111/ajt.15378. Epub 2019 Apr 29.
9
Cell-Free DNA and CXCL10 Derived from Bronchoalveolar Lavage Predict Lung Transplant Survival.源自支气管肺泡灌洗的游离DNA和CXCL10可预测肺移植存活率。
J Clin Med. 2019 Feb 13;8(2):241. doi: 10.3390/jcm8020241.
10
Montelukast in chronic lung allograft dysfunction after lung transplantation.孟鲁司特在肺移植后慢性肺移植物功能障碍中的应用。
J Heart Lung Transplant. 2019 May;38(5):516-527. doi: 10.1016/j.healun.2018.11.014. Epub 2018 Dec 6.

慢性肺移植功能障碍

Chronic lung allograft dysfunction.

作者信息

Kumar Anupam, Garcha Puneet Singh

机构信息

Baylor College of Medicine, 6720 Bertner Ave, Houston, TX 77030 USA.

出版信息

Indian J Thorac Cardiovasc Surg. 2022 Jul;38(Suppl 2):318-325. doi: 10.1007/s12055-021-01228-8. Epub 2021 Nov 16.

DOI:10.1007/s12055-021-01228-8
PMID:35756955
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9226251/
Abstract

Lung transplantation remains the only cure for selected patients with advanced irreversible lung diseases. More than 4000 lung transplants are performed worldwide annually. In the last two decades, significant advances have been made in this arena, the most impactful being a modest but improved survival of the recipients. Unfortunately majority of recipients still succumb to chronic lung allograft dysfunction (CLAD), and it remains the most common cause of death after the first year of transplantation. Below is a concise review of the current definition of CLAD, including the various phenotypes, and a brief discussion of the tools available for its diagnosis and management.

摘要

肺移植仍然是某些患有晚期不可逆肺部疾病患者的唯一治愈方法。全球每年进行超过4000例肺移植手术。在过去二十年中,这一领域取得了重大进展,其中最具影响力的是受者生存率虽有适度提高但仍有所改善。不幸的是,大多数受者仍死于慢性肺移植功能障碍(CLAD),它仍然是移植后第一年最常见的死亡原因。以下是对CLAD当前定义的简要回顾,包括各种表型,并简要讨论可用于其诊断和管理的工具。