Schmidt D, Berger H, Forst H, Willkomm G, Dienemann H
Institut für Radiologische Diagnostik, Klinikum Grosshadern, München.
Rofo. 1994 Sep;161(3):201-7. doi: 10.1055/s-2008-1032522.
Based on the imaging studies obtained from 13 patients after lung transplantation, radiological findings have been correlated with the clinical charts. The intention was to describe the radiological manifestations of the particular transplant complications of these patients. 12 episodes of reimplantation response were seen in the early postoperative period as a perihilar accented perivasal consolidation with typically short-termed appearances. 16 episodes of acute rejection showed various manifestations on the radiographs. They were characterised by immediate response to a bolus therapy with corticosteroids. This decisive observation allows the exclusion of other causes contributing to a condition following thoracotomy with similar radiological manifestations. Stenoses of the pulmonary or the bronchial anastomoses occurred once each and were confirmed in the course of further examinations. Chest radiograph proved to be the appropriate tool for the diagnosis of technical complications following iatrogenic measures (pleural effusion, pneumothorax). Clinical symptoms and follow-up observations are necessary for the interpretation of the radiographs. Chest radiography represents an important help concerning problems in differential diagnosis and further therapeutic decisions.
基于对13例肺移植患者的影像学研究，已将放射学检查结果与临床病历进行了关联。目的是描述这些患者特定移植并发症的放射学表现。术后早期可见12例再植反应，表现为肺门周围血管周围强化的实变，通常为短期表现。16例急性排斥反应在X线片上有多种表现。其特点是对大剂量皮质类固醇治疗有即时反应。这一决定性观察结果排除了开胸术后出现类似放射学表现的其他病因。肺或支气管吻合口狭窄各出现1次，并在进一步检查过程中得到证实。胸部X线片被证明是诊断医源性措施后技术并发症（胸腔积液、气胸）的合适工具。解读X线片需要临床症状和随访观察。胸部X线摄影对鉴别诊断问题和进一步的治疗决策有重要帮助。
