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頁籤選單縮合
題 名 | 肺臟移植手術病患之重症照顧=Postoperative Critical Care Following Lung Transplantation |
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作 者 | 陳晉興; 李元麒; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 3:1 2001.01[民90.01] |
頁 次 | 頁74-81 |
分類號 | 419.73 |
關鍵詞 | 肺臟移植; 術後照顧; Lung transplantation; Postoperative care; |
語 文 | 中文(Chinese) |
中文摘要 | 肺臟移植是許多末期肺病患者延續生命的希望。雖然最近一、二十年其存活率因抗排斥藥物的進步及手術技術的改良已有明顯改善,然而還是有許多病患在術後前幾天因各種併發病而喪失寶貴的生命。肺臟移植後早期常見的問題包括:呼吸功能尚未恢復,血流動力學仍未穩定,同時容易併發感染、急性排斥及植入肺臟功能不良等危險。此外,因手術而引起的出血及支氣管或血管接合處狹窄等後遺症也為術後照顧帶來莫大的困擾。這些併發症雖得難完全避免,但藉著慎重的病患篩選,適當的器官保存,成熟的手術團隊,制度化的治療常規以及各領域專家無間的合作,往往可以將傷害減至最低程度。總而言之,肺臟移植的術後照顧雖然有其困雖及特殊之處,但只要移植團隊能細心監測病人的情況,並迅速、正確的找到問題,加以處置,必能獲得良好的成果。 |
英文摘要 | Lung transplantation has evolved as a viable therapy for patients with end-stage lung disease. Although survival improved significantly in recent years, morbidity and mortality still exist within the immediate postoperative period. Early postoperative mishaps include respiratory insufficiency, hemodynamic instability, infection, acute rejection, primary graft failure, and complications associated with surgical procedures such as bleeding and problems at the sites of anastomosis. The likelihood of serious complications can be greatly reduced through careful recipient selection, proper graft preservation, experienced surgical team, standard treatment protocols, and cooperative efforts in postoperative critical care by multidiscipline consultants. Although many unique difficulties contribute to the complexity of postoperative care, meticulous surveillance and judicious management of patients will help maintain graft function, facilitate identification and treatment of complications, and provide excellent results after lung transplantation. |
本系統中英文摘要資訊取自各篇刊載內容。