中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (53): 9941-9945.doi: 10.3969/j.issn.2095-4344.2012.53.012

• 肝移植 liver transplantation • 上一篇    下一篇

肝移植后机械通气50例分析

罗显荣，刘树人，曾国兵，骆丽敏   

  1. 解放军第四五八医院，广东省广州市 510602
  • 收稿日期:2012-04-19 修回日期:2012-06-26 出版日期:2012-12-30 发布日期:2012-12-30
  • 通讯作者: 刘树人，博士，主任医师，解放军第四五八医院，广东省广州市 510602
  • 作者简介:罗显荣，男，1961年生，汉族，湖南省耒阳市人，1982年南华大学毕业，硕士生导师，主任医师，主要从事危急重症抢救研究。 luoxianrong-888@sina.cn

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

Luo Xian-rong, Liu Shu-ren, Zeng Guo-bing, Luo Li-min   

  1. The 458 Hospital of Chinese PLA, Guangzhou 510602, Guangdong Province, China
  • Received:2012-04-19 Revised:2012-06-26 Online:2012-12-30 Published:2012-12-30
  • Contact: Liu Shu-ren, Doctor, Chief physician, the 458 Hospital of Chinese PLA, Guangzhou 510602, Guangdong Province, China
  • About author:Luo Xian-rong, Master’s supervisor, Chief physician, the 458 Hospital of Chinese PLA, Guangzhou 510602, Guangdong Province, China luoxianrong-888@sina.cn

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摘要：

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(24 h)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。

关键词: 肝移植, 机械通气, 并发症, 肝功能, 肾功能, 氧代谢, 电解质, 血气分析, 器官移植

Abstract:

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.

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