肝移植术后早期并发症的诊治(附44例报告)
肝移植；术后并发症,,]肝移植；术后并发症,[摘要],[关键词],1临床资料,2结果,3讨论,参考文献
[摘要]目的总结和探讨肝移植患者术后早期常见并发症的防治经验。方法回顾性分析44例肝移植患者术后早期并发症以及对各种并发症治疗的资料。结果术后并发症包括：①腹腔内出血4例；②急性排斥反应4例；③胆漏2例；④下腔静脉血栓形成1例；⑤移植肝原发性无功能(PNF)1例；⑥呼吸系统并发症：肺部感染9例，肺不张3例，胸腔积液15例，呼吸衰竭2例；⑦急性肾功能不全10例；⑧心血管并发症：窦性心动过缓3例，顽固性高血压1例，严重低血压1例；⑨神经系统并发症：脑桥中央髓鞘溶解症(CPM)3例，肝移植后脑病5例；其他并发症：多器官功能衰竭(MOF)3例，粒细胞减少症3例，腹腔淋巴管漏2例。均给予了相应治疗。结论肝移植患者术后应积极预防各种并发症的发生，对肝移植术后并发症的及时诊断和有效治疗能显著提高患者存活率及生活质量。[关键词]肝移植；术后并发症
Diagnosis and treatment of postoperative early complications following liver transplantation in 44 cases
YANG Wenxin,ZHONG Zhengjiang,SHEN Hong, et al.
ICU；Liver Transplantation Center, the 81th Hospital of PLA，Nanjing, 210002,Jiangsu, China
[Abstract]ObjectiveTo summarize and explore the prevention and treatment of postoperative early complications after liver transplantation. MethodsCausation and treatment of postoperative complications of liver transplantation in 44 cases were retrospectively analyzed .ResultsPostoperative complications included:①intraabdominal bleeding 4 cases;②acute rejection 4 cases;③bile leaks 2 cases;④lower vena cava thrombosis 1 case;⑤primary nonfunction of transplanted liver 1 case;⑥complications of the respiratory system: pneumonia 9 cases, atelectasis 3 cases, hydrothorax 15 cases, respiratory failure 2 cases; ⑦acute renal function insufficiency 10 cases;⑧complications of cardiovascular system: bradycardia 3 cases, pertinacious hypertension 1 cases, severe hypotension 1 case;⑨complications of the nervous system: central pontine myelinolysis 3 cases, cerebropathy after transplantation 5 cases;other complications: multiple system organ failure 3 cases, granulocytopenia 3 cases, celiac lymphangial leaks 2 cases. Above all, corresponding treatments were given.ConclusionsThe results indicate that timely diagnosis and efficacious treatment can enhance livability and live quality of patients after liver transplantation. ......
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