摘要
目的:观察肝移植及肺移植术后患者在ICU的监测治疗,总结其成功的经验。方法:分析4例肝移植及1例肺移植术后患者在ICU期间的情况,观察如下指标:拔管时间、血流动力学参数、利尿剂用量、尿量及在ICU滞留的时间。结果:4例肝移植患者平均拔管时间为23h,1例肺移植患者为60h,前者的血流动力学参数明显高于后者,其利尿剂用量和尿量也高于后者。4例肝移植患者在ICU的平均滞留时间为60h,1例肺移植患者为110h。结论:尽早拔管,维持较高的血流动力学参数,加强利尿剂的用量,保证充足的尿量,并尽早转出ICU,可能是使肝移植术后患者在ICU监测治疗成功的关键措施。反之,适当延长拔管时间,防止肺水肿,适时转出ICU,则可能是肺移植患者顺利渡过ICU的原因。
Objective：To observe the monitoring and management of postoperative patients with liver and lung transplantation in ICU and summarize its successful experience.Methods：Four cases of liver transplantation patients and one case of lung transplantation patient were analyzed during the period in ICU.The following parameters were observed：extubation time,hemodynamic parameters,dosage of diuretic,urine volume and staying time in ICU.Results：The mean extubation time of four liver transplantation patients was 23 hours,the extubation time of one lung transplantation patient was 60 hours.The hemodynamic parameters of the former appealed obviously higher than that of the latter.The former had more dosage of diuretic and urine volume.The mean staying time in ICU of four liver transplantation patients was 60 hours,the staying time in ICU of one lung transplantation patient was 110 hours.Conclusion：To extuhate as early as possible,and maintain the higher level of hemodynamic parameters,use diuretic to ensure sufficient urine and discharge the patients as soon as possible from ICU,could be the key procedure to the postoperative liver transplantation patients in ICU. Reversely,duly extended extubation time,prevented the lung edema and timely discharged the patient from ICU,could be the reason that the lung transplantation patient successfully passed through the period in ICU.
出处
《中日友好医院学报》
2005年第4期205-207,共3页
Journal of China-Japan Friendship Hospital
关键词
肝移植
肺移植
加强医疗科
监测治疗
liver transplantation
lung transplantation
intensive care unit
monitoring and management
