{"id":674622,"date":"2026-02-02T11:56:03","date_gmt":"2026-02-02T11:56:03","guid":{"rendered":"https:\/\/microscopemedia.com\/?p=674622"},"modified":"2026-02-02T11:56:03","modified_gmt":"2026-02-02T11:56:03","slug":"cum-a-reusit-o-echipa-de-chirurgi-sa-tina-in-viata-un-pacient-fara-plamani-timp-de-48-de-ore","status":"publish","type":"post","link":"https:\/\/microscopemedia.com\/?p=674622","title":{"rendered":"Cum a reu\u0219it o echip\u0103 de chirurgi s\u0103 \u021bin\u0103 \u00een via\u021b\u0103 un pacient f\u0103r\u0103 pl\u0103m\u00e2ni, timp de 48 de ore"},"content":{"rendered":"
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O echip\u0103 de chirurgi<\/a> de la Universitatea Northwestern (SUA) a reu\u0219it imposibilul: s\u0103 \u021bin\u0103 \u00een via\u021b\u0103 un pacient timp de 48 de ore, f\u0103r\u0103 ca acesta s\u0103 aib\u0103 pl\u0103m\u00e2ni.<\/p>\n

Pacientul a\u0219tepta o pereche de pl\u0103m\u00e2ni pentru un dublu transplant \u2013 o abordare radical\u0103, scrie revista Med, care a publicat un raport despre acest caz.<\/p>\n

Cum a fost posibil acest lucru? Chirurgii au folosit un sistem pulmonar artificial total care oxigeneaz\u0103 s\u00e2ngele a\u0219a cum o fac pl\u0103m\u00e2nii, gestion\u00e2nd, \u00een acela\u0219i timp, fluxul sanguin \u0219i protej\u00e2nd inima.<\/p>\n

Pacientul dezvoltase o infec\u021bie ce nu putea fi tratat\u0103 cu antibiotic<\/h2>\n

Sistemul acesta artificial s-a dovedit crucial \u00een stabilizarea pacientului \u0219i preg\u0103tirea acestuia pentru transplant.<\/p>\n

Pacientul s-a recuperat complet \u0219i pl\u0103m\u00e2nii lui func\u021bioneaz\u0103 la capacitate maxim\u0103.<\/p>\n

Povestea lui \u00eencepe \u00een prim\u0103vara lui 2023, c\u00e2nd b\u0103rbatul dezvoltase o insuficien\u021b\u0103 pulmonar\u0103 asociat\u0103 gripei.<\/p>\n

Aceasta a progresat rapid \u00eenspre o pneumonie, sepsis \u0219i apoi sindrom de detres\u0103 respiratorie acut\u0103.<\/p>\n

\u201eDezvoltase o infec\u021bie la pl\u0103m\u00e2ni care pur \u0219i simplu nu putea fi tratat\u0103 cu niciun antibiotic, deoarece era rezistent\u0103 la orice\u201d, spune chirurgul Ankit Bharat.<\/p>\n

\u201eAceast\u0103 infec\u021bie a cauzat lichefierea pl\u0103m\u00e2nilor s\u0103i \u0219i apoi a continuat s\u0103 progreseze \u00een restul corpului.\u201d<\/p>\n

Abordarea standard ar fi fost plasarea pacientului \u00eentr-un sistem de men\u021binere a vie\u021bii \u0219i acordarea timpului pl\u0103m\u00e2nilor s\u0103 se recupereze.<\/p>\n

Solu\u021bia echipei<\/h2>\n

Aici, \u00eens\u0103, pl\u0103m\u00e2nii erau principala problem\u0103 \u0219i surs\u0103 de infec\u021bie: b\u0103rbatul p\u0103rea sigur c\u0103 va muri dac\u0103 pl\u0103m\u00e2nii nu i se vor scoate.<\/p>\n

\u00cendep\u0103rtarea ambilor pl\u0103m\u00e2ni \u2013 o pneumonectomie bilateral\u0103 \u2013 duce de obicei la insuficien\u021b\u0103 cardiac\u0103 din cauza perturb\u0103rilor fluxului sanguin.<\/p>\n

Pentru a evita acest lucru \u0219i a dep\u0103\u0219i limitele \u00eencerc\u0103rilor anterioare , echipa medical\u0103 din spatele sistemului articial de respira\u021bie a ad\u0103ugat canale duble de flux sanguin \u0219i un \u0219unt adaptiv la flux, permi\u021b\u00e2nd uniformizarea varia\u021biilor fluxului sanguin.<\/p>\n

Dup\u0103 prelevarea organelor, au \u00eenceput semnele de recuperare<\/h2>\n

Aparatul a fost suficient pentru a-l men\u021bine pe pacient \u00een via\u021b\u0103 suficient de mult timp pentru ca organismul s\u0103u s\u0103 se recupereze suficient c\u00e2t s\u0103 fie viabil un transplant de pl\u0103m\u00e2ni.<\/p>\n

Odat\u0103 ce organele au fost prelevate, au \u00eenceput semnele de recuperare dup\u0103 infec\u021bie.<\/p>\n

Bharat \u0219i echipa sa au efectuat o analiz\u0103 molecular\u0103 a pl\u0103m\u00e2nilor dup\u0103 ce ace\u0219tia au fost \u00eendep\u0103rta\u021bi , confirm\u00e2nd c\u0103 nu exist\u0103 nicio \u0219ans\u0103 ca pl\u0103m\u00e2nii s\u0103 se recupereze singuri dup\u0103 sindromul de detres\u0103 respiratorie acut\u0103.<\/p>\n

Un transplant era absolut necesar<\/h2>\n

Cicatricile \u0219i afectarea sistemului imunitar au \u00eensemnat c\u0103, \u00een acest caz, un transplant de pl\u0103m\u00e2ni era absolut necesar.<\/p>\n

\u201e\u00cen mod conven\u021bional, transplantul pulmonar este rezervat pacien\u021bilor care au afec\u021biuni cronice, cum ar fi boala pulmonar\u0103 intersti\u021bial\u0103 sau fibroza chistic\u0103\u201d, spune Bharat.<\/p>\n

\u201e\u00cen prezent, oamenii cred c\u0103 dac\u0103 faci Sindrom de Detres\u0103 Respiratorie Acut\u0103 sever\u0103, continui s\u0103 \u00eei sus\u021bii \u0219i, \u00een cele din urm\u0103, pl\u0103m\u00e2nii se vor \u00eembun\u0103t\u0103\u021bi\u201d.<\/p>\n

O inova\u021bie ce ar putea fi folosit\u0103 pe viitor<\/h2>\n

Aceasta este o abordare care ar putea fi folosit\u0103 din nou pentru a salva mai multe vie\u021bi.<\/p>\n

Dar construirea unui sistem artificial pentru respira\u021bie este posibil\u0103, \u00een acest moment, doar \u00een centre specializate.<\/p>\n

Bharat sper\u0103 c\u0103 inova\u021biile aplicate aici ar putea fi \u00eencorporate \u00een dispozitive standard \u00een viitor.<\/p>\n

C\u00e2nd imposibilul devine posibil<\/h2>\n

\u00cen timp ce un transplant bipulmonar ar fi putut fi considerat anterior imposibil \u00een acest scenariu, acum \u0219tim c\u0103 se poate realiza \u0219i poate fi un succes \u2013 \u0219i ar putea fi o op\u021biune \u00een cazurile viitoare, de\u0219i depinde \u00een continuare de accesul \u00een timp util la pl\u0103m\u00e2nii donatorului.<\/p>\n

\u201e\u00cen practica mea, pacien\u021bii tineri mor aproape \u00een fiecare s\u0103pt\u0103m\u00e2n\u0103 pentru c\u0103 nimeni nu \u0219i-a dat seama c\u0103 transplantul era o op\u021biune\u201d, spune Bharat.<\/p>\n

\u201e\u00cen cazul leziunilor pulmonare severe cauzate de infec\u021bii respiratorii, chiar \u0219i \u00een situa\u021bii acute, un transplant pulmonar poate salva vie\u021bi.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

O echip\u0103 de chirurgi de la Universitatea Northwestern (SUA) a reu\u0219it imposibilul: s\u0103 \u021bin\u0103 \u00een via\u021b\u0103 un pacient timp de 48 de ore, f\u0103r\u0103 ca acesta s\u0103 aib\u0103 pl\u0103m\u00e2ni. Pacientul … Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":674623,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"Default","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/posts\/674622"}],"collection":[{"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=674622"}],"version-history":[{"count":0,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/posts\/674622\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/media\/674623"}],"wp:attachment":[{"href":"https:\/\/microscopemedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=674622"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=674622"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=674622"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}