The influence of admission hemoglobin value on early postoperative lung complications in cirrhosis-associated hepatocellular carcinoma patients undergoing liver transplantation
10.3760/cma.j.issn.1007-631X.2012.09.010
- VernacularTitle:肝硬化肝癌患者的入院血红蛋白水平对肝移植预后的影响
- Author:
Guoqing JIANG
;
Minhao PENG
;
Jianjun QIAN
;
Jie YAO
;
Xiaodong WANG
;
Lei SHI
;
Jingning LU
;
Dousheng BAI
- Publication Type:Journal Article
- Keywords:
Cirrhosis;
Hemoglobins;
Liver transplantation;
Pulmonary complication
- From:
Chinese Journal of General Surgery
2012;27(9):726-728
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the clinical significance of admission hemoglobin (Hb) value for posttransplantation early respiratory complications in cirrhotic hepatocellular carcinoma (HCC) patients undergoing liver transplantation (LT).MethodsBetween April 2001 and February 2010,the medical record of 100 consecutive liver recipients at First Affiliated Hospital of Guangxi Medial University were retrospectively reviewed. Pulmonary complications developed in 45 patients after LT. Using bivariate correlation analysis between the admission Hb value and pulmonary complications screened for the threshold value of admission Hb value affecting early-phase pulmonary complications.According to the threshold value of admission Hb,LT recipients could be divided into two groups. Twenty-seven peri-operative clinical parameters were analyzed in the two groups.ResultsAdmission Hb ≤ 100 g/L was the threshold value affecting postoperative pulmonary complications.The duration of time to initial passage of flatus and the ICU length of stay were significantly prolonged in patients with admission Hb values ≤ 100 g/L,in which poorer arterial blood gas analyses were common. ConclusionsThe admission Hb value of patients with cirrhosisassociated hepatocellular carcinoma affects the early-phase prognosis after LT.
