Bastien O, Paulus S, Bertocchi M
Service d'Anesthésie Réanimation, Hôpital Cardio-vasculaire et Pneumologique L.-Pradel, Lyon.
Rev Mal Respir. 1996 Nov;13(5 Suppl):S23-9.
Intensive care after lung, and heart-lung transplantation may have simple post operative course specially after preventive procedures of reperfusion injury, nosocomial infections during mechanical ventilation and immunosuppression risks. Nevertheless a severe mediastinal shift may occurred after single lung transplantation in emphysema. Rapid changes in ventilation/perfusion ratio during lung infection or rejection specially in pulmonary hypertension are responsible of dramatic respiratory failure. Knowledge of multiorgan dysfunction and multidisciplinary experience encourage to future development.
肺移植和心肺移植后的重症监护可能有简单的术后过程，特别是在采取了预防再灌注损伤、机械通气期间的医院感染和免疫抑制风险的措施之后。然而，肺气肿患者单肺移植后可能会发生严重的纵隔移位。肺部感染或排斥反应期间，尤其是在肺动脉高压患者中，通气/灌注比的快速变化会导致严重的呼吸衰竭。对多器官功能障碍的了解和多学科经验有助于未来的发展。
