Abstract:

Objective To summarize the methods and key points of nutritional treatment for the lungtransplant patients at the different stages of peri-operation period and analyze the prognosis. Methods Through retrospective method，information of ten cases of lung-transplant patients was analyzed，of which，eight male and two female patients，age ranged 27 to 65 years old（average 45.0±12.8），five cases were pulmonary fibrosis，four cases were Silicosis，and one was COPD. Six cases received nutritional interfering before operation，but the rest did not due to emergency operation or other reasons. All of the ten cases were taken cared by clinical nutritionists and physicians for their nutritional treatment after operation. Results All of the ten cases received lung transplant successfully and survived longer than one month，but two cases died on 31st and 36th post-operation day due to multiple system organ failure and pulmonary infection respectively. The average post-operation hospital stay was（29.5±6.4）days（ranged 23-44 days）. Conclusion During peri-operation period，lung-transplant patients need to receive normative nutritional treatment carried out by professional nutritionist，who could solve the under-nutrition problem，which could further help the patients overcome the infection and transplant rejection，and improve their prognosis.

摘要：

目的 总结肺移植患者围术期不同阶段营养治疗的方法和关键点，分析其预后。方法 回顾 性分析了河南省人民医院 10 例肺移植患者营养治疗相关资料，其中男性 8 例，女性 2 例，平均年龄为 （45.0±12.8）岁。患者原发病为肺间质纤维化者 5 例，尘（矽）肺患者 4 例，慢阻肺患者 1 例。其中术前 有营养干预的 6 例，因急诊手术或其他原因无术前营养干预的 4 例。10 例患者术后均由专业营养医师协同 主管医生进行术后营养干预。结果 术后早期时间死亡患者 2 例（占 20%），死亡原因分别为多脏器功能衰 竭和肺部感染。其余患者均顺利出院，术后平均住院时间为（29.5±6.4）天。结论 肺移植围术期患者需 要专业的营养医师进行规范的营养干预，以帮助患者纠正营养不良状态，渡过感染和排异难关，改善预后。