了解心脏移植后的三回;为什么"解剖学"和"功能"只是不会切割它
Nicole K Bart1,2,3,4, Peter S Macdonald1,3,4
1Heart Transplant Program, St Vincent's Hospital, Darlinghurst, NSW, Australia.
Transplantation
|August 14, 2023
概括
心脏移植后三腹吐 (TR) 是常见的,导致更糟糕的结果. 本综述探讨了心脏移植患者中TR的原因,治疗方法和未来疗法,以帮助临床决策.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 移植医学 移植医学
背景情况:
- 三管反 (TR) 是心脏移植后的常见并发症.
- 在移植受体中,TR与不良结果有关.
- 对TR进行重复手术是高风险的,原因是骨切割,免疫抑制和脏问题.
研究的目的:
- 审查心脏移植接受者中TR的原因.
- 讨论当前和新兴的治疗选择TR在这个人群.
- 指导移植心脏病学家在移植后的TR管理中.
主要方法:
- 文献综述侧重于心脏移植中的TR.
- 对皮肤和外科手术治疗策略的分析.
- 对TR干预的患者选择标准的检查.
主要成果:
- 移植受体中复杂的心脏几何结构使TR管理复杂化.
- 多种病因导致移植后的TR.
- 穿皮疗法为手术提供了一个潜在的替代方案.
结论:
- 对于对移植受体进行TR干预,仔细选择患者至关重要.
- 了解这一群体中TR的独特挑战是必不可少的.
- 新兴的皮肤穿选择需要进一步评估疗效和安全性.
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