Spray T L
Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis Children's Hospital, Missouri 63110.
Annu Rev Med. 1994;45:139-48. doi: 10.1146/annurev.med.45.1.139.
Heart transplantation in children with complex congenital heart disease or cardiomyopathies has become an effective form of therapy for patients with no other surgical options. Because pediatric pulmonary transplantation is a relatively new procedure, long-term follow-up data are not yet available. However, the intermediate-term results of pediatric lung transplantation appear similar to those for heart and lung transplantation. Children represent a particularly difficult patient group for transplant of thoracic organs, and recipients must be selected carefully. Additionally, physicians must pay close attention to multiple medical conditions relating to the underlying disease process in order to achieve optimal results.
对于患有复杂先天性心脏病或心肌病且没有其他手术选择的儿童来说，心脏移植已成为一种有效的治疗方式。由于小儿肺移植是一种相对较新的手术，目前尚无长期随访数据。然而，小儿肺移植的中期结果似乎与心肺移植的结果相似。儿童是胸器官移植中特别困难的患者群体，必须仔细选择受者。此外，医生必须密切关注与潜在疾病进程相关的多种医疗状况，以取得最佳效果。
