肝移植术后呼吸功能监测和并发症处理

Respiratory function monitoring and complication management after orthotopic liver transplantation

目的 摸索肝移植术后呼吸功能监测和维持的规律 ,提高肝移植术后管理质量。方法 分析 5例原位肝移植病人在术后ICU期间经历的呼吸系统并发症和常见问题。结果 4例肝移植术后出现各种呼吸道并发症 19例次 ,包括肝肺综合征、胸腔积液、肺不张、肺充血、肺间质水肿、肺感染及呼吸道出血。结论 呼吸机的使用和呼吸功能的监控是肝移植术后管理的重要环节。了解肝移植术后呼吸系统病理生理学改变的规律和特殊性 。

Objective To investigate the rule of respiratory function monitoring and complication management after liver transplantation. Methods The complications and common problems of respiratory system during ICU period were analyzed in 4 patients after liver transplantation. Results In the 4 patients, there were a total of 19 times of respiratory complications including hepatopulmonary syndrome, pleural effusion, atelectasis, stethemia, pulmonary interstitial edema, pneumonia and tracheorrhagia. Conclusions Use of respirator and monitoring of the respiratory function are very important for postoperative management of liver transplantation. To understand rules and particularity of respiratory physiopathological changes after liver transplantation is of great importance for patients to safely pass over the ICU period.