Clinical analysis of psychiatric symptoms after liver transplantation

VernacularTitle:肝移植术后精神症状的临床分析
Author: Kunkun XIA ; Shuijun ZHANG ; Yang WU ; Wenzhi GUO ; Zhe TANG ; Yongfu ZHAO ; Yuxia CHAI
Publication Type:Journal Article
Keywords: Liver transplantation; Postoperative complications; Psychiatric symptoms; Prevention
From: International Journal of Surgery 2012;39(1):13-16
CountryChina
Language:Chinese
Abstract: ObjectiveTo explore causes and prevention experience for neuropsychopathic symptoms after liver transplantation.MethodsThe clinical data of 62 patients who underwent transplantation in our hospital were retrospectively analyzed for the causes of neuropsychopathy symptoms and treatment experience was Summarized.ResultsSixteen patients(25.8％ ) had psychiatric symPtoms after liver transplantation in three weeks,four of them more severe.The common clinical manifestation was sleep disorders,mania,anxiety,depression,delirium and change of cognition.The pre-operation encephalopathy history,liver function,blood loss,time in the ICU after surgery,post-operation infection and the concentration of immunosuppressive agents were risk factors for psychiatric symptoms.All patients were cured.ConclusionsPsychiatric symptoms are commonly seen after liver transplantation and have a variety of etiology and clinical manifestations.Psychological counseling should be strengthened.The appropriate therapeutic measures for different etiology can improve patient outcomes.