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一名因囊性纤维化接受肺移植的患者出现的多种危及生命的并发症及其处理

Multiple life-threatening complications in a patient who received lung transplantation due to cystic fibrosis and their management.

作者信息

Kececi Ozgur Gizem, Ozdil Ali, Korkmaz Pervin, Akcam Tevfik İlker

机构信息

Thoracic Surgery Clinic, Yüksekova Public Hospital, Hakkari, Turkey.

Department of Thoracic Surgery, Ege University School of Medicine, Izmir, Turkey.

出版信息

Ther Adv Pulm Crit Care Med. 2024 Dec 5;19:29768675241302903. doi: 10.1177/29768675241302903. eCollection 2024 Jan-Dec.

DOI:10.1177/29768675241302903
PMID:39651041
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11622289/
Abstract

Cystic fibrosis patients may be considered for lung transplantation. Although these patients may experience more successful outcomes and survival rates compared to others, various complications can arise. In particular, infectious complications and septic deaths may be more prevalent in cystic fibrosis patients compared to other lung transplant indications. Considering all these factors, recognizing and managing complications that may arise during the postoperative period in this patient group are of critical importance. In this article, multiple life-threatening complications occurring in the post-transplant period in a patient who underwent lung transplantation due to cystic fibrosis are chronologically presented, and their management is discussed.

摘要

囊性纤维化患者可考虑进行肺移植。尽管与其他患者相比,这些患者可能会有更成功的治疗结果和更高的生存率,但仍可能出现各种并发症。特别是,与其他肺移植适应症相比,囊性纤维化患者的感染性并发症和败血症死亡可能更为普遍。考虑到所有这些因素,识别和处理该患者群体术后可能出现的并发症至关重要。本文按时间顺序介绍了一名因囊性纤维化接受肺移植的患者在移植后出现的多种危及生命的并发症,并讨论了其处理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/655f/11622289/2acefc250c2f/10.1177_29768675241302903-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/655f/11622289/541bee9e107e/10.1177_29768675241302903-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/655f/11622289/82683f9a1b5c/10.1177_29768675241302903-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/655f/11622289/2acefc250c2f/10.1177_29768675241302903-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/655f/11622289/541bee9e107e/10.1177_29768675241302903-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/655f/11622289/82683f9a1b5c/10.1177_29768675241302903-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/655f/11622289/2acefc250c2f/10.1177_29768675241302903-fig3.jpg

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Factors for severe outcomes following SARS-CoV-2 infection in people with cystic fibrosis in Europe.欧洲囊性纤维化患者感染新型冠状病毒2后出现严重后果的因素。
ERJ Open Res. 2021 Dec 27;7(4). doi: 10.1183/23120541.00411-2021. eCollection 2021 Oct.
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COVID-19 in lung transplant recipients-Risk prediction and outcomes.肺移植受者中的 COVID-19:风险预测和结果。
PLoS One. 2021 Oct 6;16(10):e0257807. doi: 10.1371/journal.pone.0257807. eCollection 2021.
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COVID-19 in Lung Transplant Recipients.肺移植受者中的 COVID-19 感染。
Transplantation. 2021 Jan 1;105(1):177-186. doi: 10.1097/TP.0000000000003508.
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COVID-19 in lung transplant recipients: A multicenter study.肺移植受者中的 COVID-19:一项多中心研究。
Am J Transplant. 2021 May;21(5):1816-1824. doi: 10.1111/ajt.16364. Epub 2020 Nov 7.
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Impact of SARS-CoV-2 infection in patients with cystic fibrosis in Spain: Incidence and results of the national CF-COVID19-Spain survey.西班牙囊性纤维化患者中 SARS-CoV-2 感染的影响:全国 CF-COVID19-西班牙调查的发病率和结果。
Respir Med. 2020 Aug-Sep;170:106062. doi: 10.1016/j.rmed.2020.106062. Epub 2020 Jun 8.
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Coronavirus Disease 2019 in Solid Organ Transplant: A Multicenter Cohort Study.实体器官移植受者的2019冠状病毒病:一项多中心队列研究
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Solid organ transplantation programs facing lack of empiric evidence in the COVID-19 pandemic: A By-proxy Society Recommendation Consensus approach.实体器官移植项目在 COVID-19 大流行中面临缺乏经验证据的困境:一项代理社会推荐共识方法。
Am J Transplant. 2020 Jul;20(7):1826-1836. doi: 10.1111/ajt.15933. Epub 2020 May 10.
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Lung transplantation for cystic fibrosis.肺移植治疗囊性纤维化。
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