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789
医疗团队完成全球首例新冠肺炎双肺移植手术。(小图)患者手术前后的双肺情况。
继早前创新开展血浆疗法治疗,中国医疗团队周六成功完成全球首例新冠肺炎双肺移植手术。病人术后已清醒,移植双肺功能氧合良好,生命体征平稳。
根据媒体报道,59岁男患者来自江苏省,1月23日发病,3日后确诊新冠肺炎,经插管、人工心肺机(ECMO)和药物治疗后,连续核酸检测呈阴性,但双肺功能已严重受损。
中国著名肺移植专家、中日友好医院肺移植科主任、南医大无锡市人民医院副院长陈静瑜日前为患者进行双肺移植手术,肺部由脑死亡患者捐赠,在外省获取经高铁转运7小时至无锡。
陈静瑜表示,接受肺移植手术有3个前提条件,包括新冠肺炎患者经呼吸机及人工心肺机维持,双肺呼吸衰竭不可逆,且核酸检测连续多次呈阴性,而其他脏器功能基本正常,全身状况能够承受肺移植手术,方可进行。
他指出,为新冠肺炎患者做手术风险较大,且医护人员要在负压手术室间,全程穿上防护衣做手术,对心理和体力考验极大。医疗团队将密切观察病人,重点探索此类患者的手术前后期管理,做好移植后抗排异、抗感染后续治疗,再总结经验救治更多晚期的新冠肺炎危重症患者。
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