肝移植后机械通气50例分析

Clinical analysis of the artificial ventilation in 50 recipients after liver transplantation

背景:人工机械通气是肝移植后必须经历的一个阶段,移植后机械通气与多种因素有关。目的:探讨影响肝移植机械通气撤机的影响因素。方法:采用回顾性方法分析机械通气时间的长短(24h)与移植前并发症,移植中氧代谢,移植后肝、肾功能和脱机前、后血气及电解质的关系。结果与结论:肝移植后机械通气时间的长短与移植前并发症、移植中氧代谢、移植后肝肾功能有关(P<0.05),而与脱机前后血气及电解质无关(P>0.05)。说明移植前并发症、移植中氧代谢、移植后肝肾功能可影响肝移植后机械通气时间。

BACKGROUND： Artificial ventilation is a necessary stage after liver transplantation which is correlated with a variety of factors OBJECTIVE： To explore the influential factors for artificial ventilations after liver transplantation. METHODS： The correlations between the durations of artificial ventilations and the preoperative complications, intraoperative oxygen metabolisms, postoperative liver and kidney functions, and the blood gas and electrolyte levels were retrospectively assessed. RESULTS AND CONCLUSION： The durations of artificial ventilations were implicated in the preoperative complications, intraoperative oxygen metabolisms and postoperative liver and kidney functions （P 0.05）, but the blood gas and electrolyte levels to the contrary （P 0.05）. The preoperative complications, intraoperative oxygen metabolisms and postoperative liver and kidney functions can influence the durations of artificial ventilations of the recipients.