[Experience and lessons of lung transplantation]

In the last 2 years, four hospitals performmed 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 management, 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.