's treatment of transplantation technology of lung

's treatment of transplantation technology of lung
Transplantation technology
Cut-outed and can be well appeared outside before adult and children. Transplant, can adopt, lie location while being flat as to pairs of lung outside cut-out in front of the dual side, have centre report to it uses to be little to cut-out one pair of lungs to transplant under the VATS.
The whole lung is transplanted: During planting into, are for the lung to keep the low temperature. Identical completion at first of the bronchus. Membrane department of the bronchus can absorb line to sew up to adopt continuously by 4-0, subsequently cartilage department adopts disconnected intussusception to sew up or 8 words are sewn up, cover the identical mouth with the soft tissue around of trachea. Lung artery identical to sew up continuously by 3 5-0Prolenes. The auricular pincers of identical department position in the left room of receptor, then the open pulmonary vein takes 3 4-0Prolenes and is for the left room sleeve of body to sew up and does not tie continuously to form a horn mouthes, open the lung artery, it is angry and pouring into to arrange from the identical mouth of left room sleeve, then tie and close the identical mouth of left room, open the pulmonary vein.
The intravital lobe of the lung is transplanted: Two support body differentiate competent left lower lobe, right lower lobe, cut, fetch, cut support body the intersection of lobe of the lung and intubate under bronchus while as a child and keep in touch with with pure oxygen. Adopt and drive in the wrong direction and pour into it in order to guarantee the fully pouring into to for the lung tissue to turn white of lobe of the lung. Then send the lung to the operating room of the receptor.
Patient put lie supine location arm and elbow 90 degree crooked after it is satisfied for receptor to anaesthetize. Enter behind the chest dissecting the intersection of both sides and the intersection of lung and door, Heparin take and rise aorta and right room set up extracorporal circulatory system. Skill of lung excision of receptor of walking. The right lower lobe is for the body to plant into right side thorax and bronchus identically and go on at first, then the one that sewed up and finished the artery continuously is identical, will support on the getting identical upper pulmonary vein of the receptor of vein of the lobe of the lung, transplantation that what the right lobe of the lung is poured into finished the left lobe of the lung in the same way while.
The application of CBP and ECMO: Adult the intersection of form and lung transplant, need, employ CPB generally, whole pairs of lung transplant, want, use CPB, preface person who pass through pairs of lung determine, take, use CPB according to detailed conditions transplant. The patient that children's lung is transplanted and the lobe of the lung is transplanted should finish under CPB. The adaptation card of CPB is: High carbonic acid blood disease and acidosis can't be corrected with the medicine; PaO2lt; 6.7kPa(50mmHg; Circulate unstable or operation misoperation,etc.. CPB can go on through pulse of a whiff of sound, the right lung can also pass aorta and right room intubate while transplanting. It is postoperative for lung to transplant happen, transplant, lose work, breathe depleted and heart seriously function complete patient should consider using ECMO in early days.
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