一个成功的肺移植在一个病人与活跃的冠状病毒疾病2019:一个案例报告
Chandima Divithotawela1, Zhenhui Shawn Lee1, Peter Mark Anthony Hopkins1
1Queensland Lung Transplant Service, The Prince Charles Hospital, Brisbane, QLD, Australia; Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia.
Transplantation proceedings
|February 3, 2026
概括
在患有2019年新冠病毒病 (COVID-19) 感染的患者中,肺移植可能是可能的. 本案例研究详细介绍了一种成功的抗病毒疗法程序,为精选患者提供了希望.
科学领域:
- 肺部病理学 肺部病理学
- 移植手术 移植手术
- 传染性疾病 传染性疾病
背景情况:
- 活跃的冠状病毒病2019 (COVID-19) 感染通常是肺移植的禁忌.
- 对末期肺病患者推迟肺移植会增加发病率和死亡率.
- 在活跃的COVID-19感染期间,关于肺移植的文献有限.
研究的目的:
- 在患有活跃COVID-19感染的患者中报告肺移植的成功病例.
- 为管理肺移植接受者同时患有COVID-19提供见解.
- 为了在这个复杂的临床场景上为现有的稀缺证据做出贡献.
主要方法:
- 案例报告的方法.
- 获得了机构道德认可和患者同意.
- 对医疗记录的审查.
主要成果:
- 一名45岁的慢性排斥肺移植后患者在COVID-19阳性的情况下接受了第二次移植.
- 患者接受了雷梅西维尔和静脉注射免疫球蛋白治疗.
- 移植后的康复没有任何事件,移植功能很好,在3个月内没有排斥.
结论:
- 肺移植可以考虑在经过精心挑选的患有活跃COVID-19和有限供体选择的患者中进行.
- 针对性的抗病毒疗法和免疫抑制治疗方案对于成功的结果至关重要.
- 这一案例凸显了尽管有活跃的COVID-19感染,但肺部移植的成功潜力.
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