Reasons and treatments of lung hypervolemia in patients after liver transplantation
10.3760/cma.j.issn.0254-1785.2013.05.010
- VernacularTitle:肝移植术后早期肺血容量过高的原因及对策
- Author:
Qiang ZENG
;
Xiaoye YUAN
;
Xin ZHAO
;
Jinglin CAO
;
Qingjun GAO
;
Jian DOU
- Publication Type:Journal Article
- Keywords:
Liver transplantation;
Pulmonary edema;
Central venous pressure
- From:
Chinese Journal of Organ Transplantation
2013;(5):290-293
- CountryChina
- Language:Chinese
-
Abstract:
Objective Objective To explore the reasons of lung hypervolemia after liver transplantation and the corresponding treatment strategies.Method 291 patients received liver transplantation,in which 35 cases underwent pulmonary edema at early stage (pulmonary hypervolemia group),and the rest without pulmonary hypervolemia served as control group.Average central venous pressure (CVP) was recorded pre-,intra-and post-operatively.Total intake,total discharge and fluid balance were also recorded intraoperatively and 3 days post-operatively.Result In pulmonary hypervolemia group,CVP was (12.33 ± 5.08),(14.33 ± 3.03) and (16.50 ± 4.57) mmHg pre-,intra-and post-operatively,significantly higher than that in control group (P＜0.05 for all).Total intake,total discharge and fluid balance in pulmonary hypervolemia group were significantly higher than those in control group intraoperatively and 3 days post-operatively (P＜0.05 for all).After diuretic therapy and hemodialysis,30 cases in pulmonary hypervolemia group recurred,and 5 cases died of infection.Conclusion Pulmonary hypervolemia at early stage after liver transplantation is related to fluid balance.The reasonable control of total intake,total discharge and fluid balance is necessary.
