This thirty-sixth adult lung and heart–lung transplant report summarizes data from 69,200 adult lung and 4,128 adult heart-lung transplants performed through June 30, 2018 and reported to the International Thoracic Organ Transplant Registry. With each year's report, we now provide more detailed analyses on a particular focus theme important to patient outcomes. Since 2013, these have been donor and recipient age; retransplantation; early graft failure; indication for transplant; allograft ischemic time; and multiorgan transplantation. Although widely accepted as critical to decision making at the time of receipt of an organ donor offer, there is surprisingly little literature outlining current practice and the impact of size (mis-)matching on outcomes. Hence this year's report focuses on an overall theme of donor and recipient size matching. In addition to reporting donor and recipient height and weight difference for all adult lung and heart-lung transplant recipients stratified by transplant type (bilateral or single) and indication, we report historical trends and associations between size match and survival. The Registry's online slide sets include results from additional analyses and complementary information not included in this publication (see https://ishltregistries.org/registries/slides.asp).

这份第 36 份成人肺和心肺移植报告总结了截至 2018 年 6 月 30 日进行的 69,200 例成人肺移植和 4,128 例成人心肺移植的数据，并向国际胸腔器官移植登记处报告。在每年的报告中，我们现在针对对患者治疗结果重要的特定焦点主题提供更详细的分析。自 2013 年以来，这些都是捐赠者和接受者的年龄；再移植；早期移植失败；移植指征；同种异体移植物缺血时间；和多器官移植。尽管人们普遍认为在收到器官捐赠者的提议时做出决策至关重要，但令人惊讶的是，很少有文献概述当前的做法以及尺寸（错误）匹配对结果的影响。因此，今年的报告重点关注捐助者和受援者规模匹配的总体主题。除了报告按移植类型（双侧或单侧）和适应症分层的所有成年肺和心肺移植受者的供体和受者身高和体重差异外，我们还报告尺寸匹配与生存之间的历史趋势和关联。登记处的在线幻灯片集包括本出版物中未包含的其他分析结果和补充信息（请参阅 https://ishltregistries.org/registries/slides.asp）。