32例肝移植患者开放血供前非白蛋白液冲洗效果分析

Effect of a non-protein flushing fluid in liver transplantation: clinical analysis of 32 cases

目的探讨肝移植开放血供前使用非白蛋白液冲洗移植肝是否会影响移植肝功能恢复,以及是否会增加术后并发症。方法 2011年5月至2013年3月我院行同种异体原位肝移植32例,观察使用4℃0.9%生理盐水冲洗移植肝脏后术后肝功能恢复及手术并发症发生情况。结果 32例肝移植患者术后未见移植肝功能恢复延迟,均无严重相关手术并发症。结论肝移植开放血供前使用非白蛋白液冲洗肝脏,可取得与白蛋白冲洗相同的临床效果,并未见延迟肝功能恢复以及严重手术并发症的发生,还可节省医疗资源。

Objective To investigate whether flushing the transplanting liver with a non-protein flushing fluid had an effect on the function recovery of transplanted liver and the incidence of complications .Methods Effects of the use of 4℃0.9%saline solution in 32 cases on the liver function recovery and the incidence of complications following liver transplantation were retrospectively ana -lyzed.Results There were no delayed recovering in liver function or increased incidence of complications in the 32 cases.Conclusion Using 4℃0.9%saline solution to flush liver has similar clinical effect to using albumin solution .No delayed liver function recovery or increased incidences of complications are observed .The method can also save the scarce medical resources .