Experience and lessons of lung transplantation Zhao Fengrui, Jiang Yaoguang, Li Naibin, et al. Department of Thoracic Surgery, China-Japan Friendship Hospital, Beijing 100029.
Abstract In the last 2 years, four hospitals performed cooperatively single-lung transplantation for 3 patients, 1 left lung and 2 right lung. The patients had pulmonary fibrosis, COPD with cancer or tuberculosis, infection in some extent before transplantation. The patients died from severe infection 9, 48 and 43 days after the operation. We discussed the selection of donors and recipients, operative procedures, postoperative manangement, especially monitoring, differential diagnosis and treatment of infection and rejection. HLA compatibility and transbronchial lung biopsy were important to the success of lung transplantation. We believe that rejection and infection are important causes of short-term death that should be given more attention.
Key words Lung transplantation Pulmonary fibrosis