文献导读||肺移植患者术后管理的要点

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肺移植患者术后管理的要点有哪些呢？

原文摘要 

重症监护病房肺移植受者的术后处理 全世界肺移植的数量正在逐渐增加，这给跨专业团队和重症监护室带来了新的挑战。 肺移植受者的预后受到特殊病理生理条件和风险因素的复杂相互作用的严重影响，了解这些因素对于术后早期妥善处理这些患者至关重要。 由于缺乏高等级循证指南，作者旨在对重症监护病房肺移植受者的术后管理进行最新回顾，其中涉及六个主要方面： （1） 机械通风的管理， （2） 液体和血流动力学管理， （3） 免疫抑制疗法， （4） 神经系统并发症的预防和管理， （5） 抗菌治疗， （6） 营养支持和腹部并发症的处理。 由专门的多学科团队提供的综合护理是优化重症监护病房肺移植受者复杂术后管理的关键。 

原文摘要 Postoperative Management of Lung Transplant Recipients in the Intensive Care Unit The number of lung transplantations is progressively increasing worldwide, providing new challenges to interprofessional teams and the intensive care units. The outcome of lung transplantation recipients is critically affected by a complex interplay of particular pathophysiologic conditions and risk factors, knowledge of which is fundamental to appropriately manage these patients during the early postoperative course. As high-grade evidence-based guidelines are not available, the authors aimed to provide an updated review of the postoperative management of lung transplantation recipients in the intensive care unit, which addresses six main areas: (1) management of mechanical ventilation, (2) fluid and hemodynamic management, (3) immunosuppressive therapies, (4) prevention and management of neurologic complications, (5) antimicrobial therapy, and (6) management of nutritional support and abdominal complications. The integrated care provided by a dedicated multidisciplinary team is key to optimize the complex postoperative management of lung transplantation recipients in the intensive care unit.

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