肝肺综合征与肝移植的麻醉
摘要
1963年,Starzl和他的助手们在科罗拉多州立大学施行了世界上第一例肝移植手术,到20世纪90年代.肝移植已逐步成为临床上治疗终末期肝病的常规方法。尽管技术不断发展,目前肝移植仍然是一项风险极大的手术。肝移植手术的麻醉具有极大的挑战性,许多问题有待进一步的研究和探讨。终末期肝病。常并发有静脉曲张性出血、肝性脑病、肝肾综合征、顽固性腹水、严重营养不良.
出处
《现代医药卫生》
2008年第7期1000-1002,共3页
Journal of Modern Medicine & Health
基金
广西壮族自治区卫生厅自筹经费科研课题(Z2007156)
参考文献28
-
1Swanson KL ,Wiesner RH, Krowka M,J,Natural history of hepatopulmonary syndrome:Impact of liver transplantation[J]. Hepatology, 2005, 41(5):1122,
-
2Krowka MJ.Hepatopulmonary syndromes[J].Gut ,2000,46(1):1.
-
3Taille C ,Cadranel J,Bellocq A,et al.Liver transplantation for hepatopulmonary syndome: a ten-year experience in Paris France[J]. Transplantion, 2003,75(9): 1482.
-
4Hopkins WE ,Waggoner AD,Barzilai B.Frequency and significance of intrapulmonary fight-to-left shunting in end-stage hepatic disease[J]. Am J Cardiol, 1992,70(4):516.
-
5Krowka MJ,Wiseman GA,Burnett OL,et al.Hepatopulmonary syndrome: a prospective study of relationships between severity of liver disease ,PaO2 response to 100% oxygen ,and brain uptake after(99m)Tc MAA lung scanning[J].Chest,2000,118(3):615.
-
6Krowka M J, Dickson ER, Cortese DA, et al.Hepatopulmonary syndrome.Clinical observations and lack of therapeutic response to somatostatin analogue[J].Chest, 1993,104(2):515.
-
7Krowka MJ,Porayko MK,Plevak D J, et al.Hepatopulmonary syndrome with progressive hypoxemia as an indication for liver transplantation: case reports and literature review[J].Mayo Clin Proc, 1997,72(1):44.
-
8Egawa H, Kasahara M ,Inomata Y, et al.Long-term outcome of living related liver transplantation for patients with intrapulmonary shunting and strategy for complications[J].Transplantation, 1999,67(5):712.
-
9Squadrone V,Coha M,Cerutti E,et al. Continuous positive airway pressure for treatment of postoperative hypoxemia: a randomized controlled trial[J].JAMA 2005,293(5):589.
-
10Moran I,Zavala E,Fernandez R,et al. Recruitment manoeuvres in acute lung injury/acute respiratory distress syndrome[J]. Ear Respir J Suppl,2003,42:37.
二级参考文献29
-
1张慧英,韩德五,王新国,赵元昌,周鑫,赵海珍.脂多糖在肝肺综合症发生中的作用[J].中国病理生理杂志,2005,21(11):2238-2242. 被引量:10
-
2SφrenMφller,JensHHenriksen.Cardiopulmonary,complications in chronic liver disease[J].World Journal of Gastroenterology,2006,12(4):526-538. 被引量:17
-
3陆慰萱,路刚,朱元珏,周前,罗慰慈,马斯骥,吴全有.动态肺灌注显像在诊断肝肺综合征中的价值[J].中华结核和呼吸杂志,1996,19(4):219-221. 被引量:6
-
4Johannignan JA,Miller SL,Davis BR,et al.Influence of low tidal volumes on gas exchange in acute respiratory distress syndrome and the role of recruitment maneuvers.J Trauma,2003,54:320-325.
-
5Marini JJ,Evans TW.Round table conference:acute lung injury,15th-17th March 1997 Brussels,Belgium.Intensive Care Med,1998,24:878-883.
-
6Fujino Y,Goddon S,Dolhnikoff M,et al.Repetitive high-pressure recruitment maneuvers required to maximally recruit lung in a sheep model of acute respiratory distress syndrome.Crit Care Med,2001,29:1579-1586.
-
7Richard JC,Maggiore S,Mercat A.Where are we with recruitment maneuvers in patients with acute lung injury and acute respiratory distress syndrome? Curr Opin Crit Care,2003,9:22-27.
-
8Oczenski W,Hormann C,Keller C,et al.Recruitment maneuvers after a positive end-expiratory pressure trial do not induce sustained effects in early adult respiratory distress syndrome.Anesthesiology,2004,101:620-625.
-
9Neumann P,Berglund JE,Mondejar EF,et al.Effect of different pressure levels on the dynamics of lung collapse and recruitment in oleic-acid-induced lung injury.Am J Respir Crit Care Med,1998,158:1636-1643.
-
10Grasso S,Mascia L,Del Turco M,et al.Effects of recruiting maneuvers in patients with acute respiratory distress syndrome ventilated with protective ventilatory strategy.Anesthesiology,2002,96:795-802.
共引文献27
-
1许建刚.低潮气量和呼气末正压在肝肺综合征患者肝移植期的临床应用[J].中国组织工程研究与临床康复,2007,11(47):9543-9546.
-
2孙辉,王敏,李莉娟.肝肺综合征的诊治[J].临床误诊误治,2008,21(4):85-87. 被引量:3
-
3罗亮,吴本清,刘珍,闫玉琴.机械通气呼气末正压对早产儿心功能的影响[J].中国新生儿科杂志,2008,23(3):153-155. 被引量:7
-
4段键,曾仲,陈明清,崔平,徐王刚,黄汉飞,彭玉洁,梁荣毕.原位肝移植术后早期肺部感染55例分析[J].中国组织工程研究与临床康复,2008,12(18):3446-3448. 被引量:1
-
5陆国军,李梅梅,吴睿,王彤,殷凯生.失代偿期肝硬化并发肝肺综合征一例[J].南京医科大学学报(自然科学版),2008,28(8):1082-1084.
-
6罗显荣,刘树人,曾国兵,余宙耀,骆丽敏,任长发.肝移植术后急性肺水肿的临床研究[J].中国危重病急救医学,2009,21(2):121-122. 被引量:4
-
7陈规划,易慧敏.应重视肝移植围手术期的肺部管理[J].中华医学杂志,2009,89(22):1517-1518.
-
8李国,施举红,陆慰萱.肝肺综合征22例临床表现及CT特征分析[J].中华结核和呼吸杂志,2009,32(12):919-922. 被引量:8
-
9李军,高心晶,高艳颖,卫俊涛,秦英智.脉搏指示连续心排血量技术对压力与容量控制模式机械通气容量参数的影响[J].中国危重病急救医学,2010,22(3):146-149. 被引量:4
-
10徐志丹,时军,罗文峰,王永刚,罗来邦,李新长,龙成美.肝脏移植术后肺部感染的防治[J].实用临床医学(江西),2010,11(5):28-31. 被引量:5
-
1肝病的药物治疗(续)[J].德国临床用药,2001,4(3):28-29.
-
2静脉曲张性出血[J].传染病网络动态,2002(11):26-27.
-
3姜太一.肝硬化[J].传染病网络动态,2002(4):25-25.
-
4郑培德,周敏.成人呼吸窘迫综合征并发症(附18例分析)[J].江苏医药,1995,21(11):733-734.
-
5吴晓光,李雪莲,陈红梅,马丽萍,张立群.结核性脑膜炎患者死亡危险因素分析[J].中国临床医生杂志,2015,43(8):29-32. 被引量:11
-
6程华敏,刘记.重症患者配合营养治疗在临床中的价值(附3例报告)[J].河南外科学杂志,2007,13(5):82-83.
-
7王廷兆.营养不良加重心绞痛[J].老年人,1998,0(12):37-37.
-
8静脉曲张性出血和腹水[J].传染病网络动态,2002(1):32-32.
-
9徐玲风,周高龙.综合治疗非静脉曲张性上消化道出血80例[J].江西中医药,2012,43(2):28-29. 被引量:2
-
10徐玲风.综合治疗非静脉曲张性上消化道出血80例[J].当代医学,2009,15(33):52-52. 被引量:2