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肝移植术后急性肺损伤的观察与分析 被引量:2

Risk Factors for Acute Lung Injury after Liver Transplantation
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摘要 目的 分析肝脏移植患者术后并发急性肺损伤 (ALI)的危险因素 ,并探讨其防治措施。方法 采用回顾性调查的方法 ,对 4例肝脏移植患者的相关资料进行分析。结果 门肺高压症、呼吸机长期使用、严重感染、全身炎性反应综合征、高凝状态、液体超载、肾功能障碍等 ,是肝移植术后并发急性肺损伤及急性呼吸窘迫综合征(ARDS)的危险因素。结论 肝移植术后易发生ALI,预防并减少相关危险因素的影响 ,对减少术后ALI及ARDS有重要意义。 Objective To investigate the risk factors for acute lung injury(ALI) after orthotopic liver transplantation(OLT) and to explore the prevention and cure scheme.Methods The risk factors responsible for ALI in 4 patients undergoing OLT were analyzed with retrospective investigation.Results Portal pulmonary hypertension, long term mechanical ventilation, severe infection, SIRS, hypercoagulability, over dose transfusion and kidney dysfunction were risk factors for ALI.Conclusion ALI frequently occurred after OLT. Reducing and diminishing the risk factors is very important to avoid ALI after OLT.
出处 《中国普外基础与临床杂志》 CAS 2005年第1期63-66,共4页 Chinese Journal of Bases and Clinics In General Surgery
基金 甘肃省科学事业费科技项目 (编号 :QS0 12 C3 3 3 1)~~
关键词 术后 急性肺损伤 肝移植术 ARDS ALI 肝脏移植 患者 结论 重要意义 方法 Orthotopic liver transplantation Acute lung injury
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参考文献12

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