Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, New York University Grossman School of Medicine, 530 First Avenue, HCC 4A, New York, NY 10016, USA.
Division of Pulmonary, Allergy, and Critical Care, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Hospital of the University of Pennsylvania, 3400 Spruce Street, 9036 Gates Building, Philadelphia, PA 19104, USA.
Clin Chest Med. 2023 Mar;44(1):105-119. doi: 10.1016/j.ccm.2022.10.010.
Lung transplantation is often the only treatment option for patients with severe irreversible lung disease. Improvements in donor and recipient selection, organ allocation, surgical techniques, and immunosuppression have all contributed to better survival outcomes after lung transplantation. Nonetheless, lung transplant recipients still experience frequent complications, often necessitating treatment in an intensive care setting. In addition, the use of extracorporeal life support as a means of bridging critically ill patients to lung transplantation has become more widespread. This review focuses on the critical care aspects of lung transplantation, both before and after surgery.
肺移植通常是严重不可逆肺疾病患者的唯一治疗选择。供体和受体选择、器官分配、手术技术和免疫抑制方面的改进都有助于提高肺移植后的生存结果。尽管如此，肺移植受者仍经常发生并发症，往往需要在重症监护环境中进行治疗。此外，体外生命支持作为将危重病患者桥接至肺移植的手段已变得更为广泛。这篇综述重点介绍了肺移植手术前后的重症护理方面。
