摘要
目的总结肝移植术后急性肺损伤(ALI)的预防与诊治经验。方法回顾性分析2001年至今开展的25例肝移植患者中5例发生ALI的临床资料。结果25例肝移植患者术后5例发生ALI,占20%,经治疗后均恢复正常。发生ALI者在症状出现前均有输血、大量补液的病史。结论肝移植术后ALI的发生多种因素有关。临床除机通气氧疗外,应做好综合治疗,尤其应严格限制补液量。
Objective To summarize the experience of diagnosis and surgical treatment of acute lung injury after orthotopic liver transplantation. Methods The diagnosis and treatments of 5 patients in 25 after orthotopic liver transplatation were retrospectively reviewed. Results 5 of a total of 25 patients （20%） were diagnosed with ALI after orthotopic liver transplatation. All patients recovered after receiving appropriate treatment. Conclusion The occurrence of ALI is related to the operative trauma, the quantity of blood loss in operation, great quantity fluid infusion, lung infection, hypercoagulability. Systemic treatment especially control of fluid infusion strictly is necessary for the patients with ALI besides the oxygen therapy.
出处
《肝胆外科杂志》
2007年第3期172-175,共4页
Journal of Hepatobiliary Surgery
关键词
肝移植
急性肺损伤
诊断
治疗
liver transplantation
acute lung injury
diagnosis
treatment
