临床儿科杂志 ›› 2025, Vol. 43 ›› Issue (7): 539-542.doi: 10.12372/jcp.2025.24e1052

• 临床报道 • 上一篇    下一篇

肺移植治疗中毒性表皮坏死松解症/Stevens-Johnson 综合征继发性闭塞性细支气管炎2例报告

梁佳龙, 陈员, 徐坚, 叶书高()   

  1. 南京医科大学附属无锡人民医院 南京医科大学无锡医学中心肺移植中心(江苏无锡 214023)
  • 收稿日期:2024-09-30 录用日期:2024-12-05 出版日期:2025-07-15 发布日期:2025-06-27
  • 通讯作者: 叶书高 E-mail:ysg206@hotmail.com
  • 基金资助:
    江苏省肺移植医学创新中心项目(CXZX2022001)

A report of two cases of bronchiolitis obliterans organizing pneumonia secondary to toxic epidermal necrolysis/Stevens-Johnson syndrome in lung transplantation treatment

LIANG Jialong, CHEN Yuan, XU Jian, YE Shugao()   

  1. Lung Transplantation Center, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi People's Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi 214023, Jiangsu, China
  • Received:2024-09-30 Accepted:2024-12-05 Published:2025-07-15 Online:2025-06-27
  • Contact: YE Shugao E-mail:ysg206@hotmail.com

摘要:

目的 探讨肺移植治疗中毒性表皮坏死松解症/Stevens-Johnson 综合征继发性闭塞性细支气管炎的疗效。 方法 回顾性分析既往收治的2例中毒性表皮坏死松解症/Stevens-Johnson 综合征继发性闭塞性细支气管炎患儿的病历资料。结果 2例患者成功接受了肺移植手术且术后未见复发,其中1例术后16个月因感染死亡。文献检索出6例符合要求的患者资料,截至文献发表时均存活且未见疾病复发。结论 肺移植可能是治疗中毒性表皮坏死松解症/Stevens-Johnson 综合征继发性闭塞性细支气管炎的有效手段,可能具有良好的预后,围术期肺部感染的控制是关键。

关键词: 肺移植, 中毒性表皮坏死松解症, Stevens-Johnson 综合征, 闭塞性细支气管炎

Abstract:

Objective To assess the efficacy of lung transplantation in managing bronchiolitis obliterans resulting from toxic epidermal necrolysis/Stevens-Johnson syndrome. Methods The medical records of 2 children with toxic epidermal necrolysis/Stevens-Johnson syndrome secondary bronchiolitis obliterans were retrospectively analyzed. Results Two patients successfully underwent lung transplantation and experienced no recurrence of their condition postoperatively. Tragically, one of these patients succumbed to an infection 16 months following the procedure. Additionally, we extracted data on six patients from the literature who fulfilled the criteria, and at the time of publication, all were reported to be alive and free from disease recurrence. Conclusions Lung transplantation emerges as a potentially effective therapeutic option for patients with toxic epidermal necrolysis/Stevens-Johnson syndrome who develop secondary bronchiolitis obliterans, suggesting a favorable prognosis. However, the crux of success lies in meticulous management of perioperative pulmonary infections.

Key words: lung transplantation, toxic epidermal necrolysis, Stevens-Johnson syndrome, bronchiolitis obliterans

中图分类号: 

  • R72