肝脏移植术后胸水原因分析及治疗策略

Etiopathogenesis and treatment of pleural fluid after liver transplantation

目的 探讨肝脏移植术后胸水产生的原因及治疗策略。方法 回顾性分析28例肝脏移植术后胸水原因及治疗方法。结果 28例胸水均消失，无严重胸腔感染、肺部感染、呼吸衰竭发生。随访3～27月，死亡2例，存活病例再无胸水发生。结论 肝脏移植术后胸水是多因素作用的结果，通过适当方法的治疗可以达到治愈。

Objectives To analyse the etiological factors and treatment of pleural fluid after liver transplantation. Methods Twenty-eight eases of pleural fluid after liver transplantation were studied retrospectively. Results Pleural fluid after liver transplantation was principally caused by portal hypertension, hypoproteinemia and hiatus or injury of diaphragmatic muscle, as well as postoperative inflammatory irritation. Supporting treatment and maintenance of vital organs such as the implanted liver were the primary part of therapy. Suction of fluid by puneturafion or drainage by catheter was usually chosen for those having significant symptoms or great quantity of fluid. All the pleural fluid disappeared after treatment. No serious infection or respiratory failure occurred. Follow-up for 3 - 27 months revealed that 2 patients died and others recovered well Conclusion Pleural fluid after liver transplantation is a result of multiple causes and can be cured without complication by proper treatment.