42.有關肺臟移植之敘述,下列何者錯誤?
(A)5年存活率>50%
(B)術後3個月內最常見之感染為病毒感染
(C)依據世界心肺移植登記,最常見接受移植的診斷為阻塞性肺病
(D)免疫抑制藥物需終身服用
答案:登入後查看
統計: A(63), B(223), C(63), D(30), E(0) #1741811
統計: A(63), B(223), C(63), D(30), E(0) #1741811
詳解 (共 2 筆)
#4174424
補充併發症時機
immediate and early postoperative period (first 24 hours to first week)
- malpositioned tubes and lines
- mechanical problems due to size mismatching between the donor lungand the recipient thoracic cage
- primary graft dysfunction - pulmonary edema following lung transplantation (reimplantation response)
- corresponds to a transient ischemic/reperfusion injury that appears as a pulmonary edema in almost every patient during the first three days post- Surgery
- acute lung transplant rejection
- common process in the first 2 weeks after transplant with good prognosis
- hyperacute lung transplant rejection
- fulminant syndrome that occurs immediately after the transplant and has a poor prognosis
- pleural complications
- pneumothorax
- hemothorax
- pleural effusion
- pleural fistula
intermediate period (1 week to 4 months)
- acute lung transplant rejection
- anastomotic (airway) dehiscence
- airway stenosis
- Candida infection: first 3 months
- CMV infection: between 1 and 6 months
- Aspergillus infection: between 1 and 6 months
- pulmonary artery stenosis
late periods (after 4 months)
- Mycobacterial Infection
- RSV infection
- chronic lung allograft dysfunction (CLAD)
- bronchiolitis obliterans is probably due to chronic rejection
- upper lobe fibrosis is probably due to rejection
- post-transplant lymphoproliferative disorder

Current 1-, 5-, and 10-year survival rates following lung transplantation are 82%, 55%, and 33%,
Mortality is highest during the first year, with primary graft dysfunction and infection representing the most common causes of death.
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