China News Service, Hangzhou, April 22 (Reporter Zhang Bin Correspondent Wang Rui Hu Xiaofeng) On the 22nd, the reporter learned from the First Affiliated Hospital of Zhejiang University School of Medicine (hereinafter referred to as the First Hospital of Zhejiang University) that previously a 66-year-old woman in the hospital The patients with new coronary pneumonia recovered well after undergoing lung transplantation and will be discharged in the near future. In addition, another elderly patient with a new coronary lung transplant in the First Hospital of Zhejiang University is also in a stable recovery stage.

  Recently, Liang Tingbo, secretary of the Party Committee of the First Hospital of Zhejiang University as the corresponding author, and Han Weili, the chief physician of the Department of Lung Transplantation of the First Hospital of Zhejiang University, as the first author published relevant papers in the international surgery journal "ANNALS OF SURGERY" experience.

  "Two 66-year-old lung transplant patients and a 70-year-old patient are recovering very well now." Liang Tingbo said, "Both patients successfully removed the artificial membrane lung (ECMO) after undergoing the new coronary lung transplant operation. The ventilator is also about to be removed, and both can get out of bed and walk and eat on their own. "

  According to the hospital, the 66-year-old female patient was diagnosed on January 31, and was transferred from a place in Zhejiang to the first hospital of Zhejiang University on February 2. The disease progressed rapidly. Intubation and intubation were performed on February 3 and February 16. Use artificial membrane lung (ECMO). After treatment, the patient's viral nucleic acid test turned cloudy for many days, but the lungs became severe, the lung function was irreversibly damaged, and life was in a "desperate situation." The only way to extend life was lung transplantation.

  On March 1, this year, a multidisciplinary team led by Han Weili, including the Department of Lung Transplantation, Anesthesiology Department, Operating Room, Intensive Care Unit, Cardiopulmonary Bypass Unit, Ultrasound, etc. of the First Hospital of Zhejiang University successfully implemented the lung transplant operation for this patient.

  How much pressure does this operation have? Han Weili recalled: "The psychological, physical and technical pressures are unprecedented and exceed the limits."

  "The positive pressure headgear constantly inhales, and the sound of the waves comes from your ears. In a noisy environment, communication basically depends on roaring, and the spirit must be highly concentrated." Han Weili said.

  In addition to the physical difficulties, the difficulty of surgery is far more than every operation experienced by the lung transplant team. "Due to severe obesity and severe pulmonary hypertension, the management of the anastomosis of the left atrium sleeve of the pulmonary vein is particularly difficult. If you are a little careless, either the left atrium cannot be anastomosed or the forceps are blocked, and the patient may not be able to get off the operating table." After the patient had complications after the operation, these complications added together, "almost all the possibilities listed in the textbook have been passed through." At that time, the medical team stood by this patient for 24 hours.

  On the second postoperative day, the patient experienced severe acute rejection. Due to the full preoperative demonstration, a detailed treatment plan was formulated. With the support of the multidisciplinary team, the patient successfully crossed the "exclusion barrier" and successfully withdrew the artificial membrane lung on the fifth day after surgery.

  "During the later period of rehabilitation, the patient had gastrointestinal bleeding, delayed chest hemorrhage and other problems, but they were all overcome by the treatment team." Han Weili introduced that now, the patient can sit freely by the bed, You can pedal a rehabilitation bike, achieve independent standing, etc., and will soon be discharged from the hospital.

  In addition, the second elderly patient undergoing lung transplant surgery at the First Hospital of Zhejiang University is also recovering smoothly. "Through these two cases of lung transplantation, we first proposed the evaluation criteria for lung transplantation in patients with end-stage new coronary pneumonia, and also broke through the guidelines for international lung transplantation. "Hospital Clinical Experience." Han Weili said. (Finish)