Passenger Lymphocyte Syndrome after Single Lung Transplantation: Report of a Case and Literature Review

單肺移植後的過渡性淋巴球症候群：一病例報告和文獻回顧

李明禮(Ming-Li Lee) ； 杭良文(Liang-Wen Hang) ； 李秉純(Ping-Chun Lee) ； 白淑芬(Shu-Fen Pai) ； 施志勳(Chih-Shiun Shih) ； 許南榮(Nan-Yung Hsu)

《Mid-Taiwan Journal of Medicine》 7卷2期 (2002/06) Pp. 124-128

https://doi.org/10.6558/MTJM.2002.7(2).10

摘要

當血型O型的捐贈者器官移植給血型A 、B或AB型的病患時，可能會發生過渡性淋巴球症候群，理想的情況下，大部份移植手術採用血型ABO型完全相同的器官，有時，因為器官的短缺A、B或AB型的病患會使用O型捐贈者的器官，而造成輕微血型的不配合。在單肺移植手術中，因輕微血型不配合而由捐贈器官的抗體引起的紅血球破壞，較少被報告。我們報告一位A型血型病患，在接受一位O型捐贈者做單肺移植後 8天到11天，造成紅血球溶血，而需要輸血的病例。

關鍵字

ABO血型不配合；過渡性淋巴球症候群；單肺移植

並列摘要

Passenger lymphocyte syndrome (PLS) may occur when an organ from a blood group O donor is transplanted into a blood group A, B, or AB recipient. ABO-identical organs are used in the majority of transplants. However, because of the shortage of suitable donors, a minor ABO-mismatch may occur when using blood group O donor organs in A, B, or AB recipients Induction of red blood cell destruction by graft-derived antibodies after minor ABO-mismatched single lung transplantation (SIT) is rare. We describe a blood group A recipient who had hemolysis of red cells, starting from day 8 and lasting up to day 11 after SLT, which necessitated transfusion from a blood type group O donor.

並列關鍵字

ABO-mismatch；passenger lymphocyte syndrome；single lung transplantation