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列出困境:年龄、虚弱、体重、既往癌症和系统性疾病。

Listing Dilemmas: Age, Frailty, Weight, Preexisting Cancers, and Systemic Diseases.

机构信息

Division of Pulmonary and Critical Care Medicine, New York University, Langone Health, 530 First Avenue, HCC-4A, New York, NY 10016, USA.

Division of Pulmonary and Critical Care Medicine, New York University, Langone Health, 530 First Avenue, HCC-4A, New York, NY 10016, USA.

出版信息

Clin Chest Med. 2023 Mar;44(1):35-46. doi: 10.1016/j.ccm.2022.10.002.

Abstract

Selection of lung transplant candidates is an evolving field that pushes the boundaries of what is considered the norm. Given the continually changing demographics of the typical lung transplant recipient as well as the growing list of risk factors that predispose patients to poor posttransplant outcomes, we explore the dilemmas in lung transplant candidate selections pertaining to older age, frailty, low and high body mass index, preexisting cancers, and systemic autoimmune rheumatic diseases.

摘要

肺移植候选者的选择是一个不断发展的领域,它推动了人们对常规标准的认知边界。鉴于典型肺移植受者的人口统计学特征不断变化,以及导致患者移植后预后不良的风险因素不断增加,我们探讨了与年龄较大、体弱、低体重指数和高体重指数、预先存在的癌症以及系统性自身免疫性风湿病相关的肺移植候选者选择中的困境。

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