Evaluation effect of multi-detector CT on pulmonary changes in post-operative adult receptor of liver transplantation complicated with acute respiratory distress syndrome
10.3969/j.issn.1008-9691.2017.03.019
- VernacularTitle:多排CT对肝移植成人受体术后并发ARDS患者肺部改变的评估作用
- Author:
Guangfeng GAO
;
Wen SHEN
;
Xihong GE
;
Jing YU
;
Qian CUI
- Keywords:
Liver transplantation;
post-operative;
Acute respiratory distress syndrome;
Multi-detector CT;
Pulmonary pathological findings
- From:
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
2017;24(3):300-303
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the multi-detector CT (MDCT) on pulmonary changes in post-operative adult receptor of liver transplantation complicated with acute respiratory distress syndrome (ARDS).Methods Nineteen adult patients admitted into Tianjin First Center Hospital from January to December 2016 to perform the first time liver transplantation were enrolled in this study. Before operation, the CT showed no significant abnormality in the patients' lungs, after operation MDCT was applied to observe the pulmonary changes of ARDS post-operative complication in the adult receiver of liver transplantation, and the pulmonary changes in different gender of patients were analyzed and compared.Results MDCT showed that after liver transplantation all the 19 patients (100%) had lung pathological changes, of whom 18 cases (94.7%) manifested 2 or more than 2 kinds of pulmonary changes, including consolidation shadows (12 cases, 63.2%), patchy shadows (2 cases, 10.5%), ground glass opacity (6 cases, 31.5%) and pleural effusion (18 cases, 94.7%). In the comparisons between male and female patients with post-operative ARDS after liver transplantation, there were no significant differences in the lung pathological changes shown in MDCT (allP > 0.05) statistically.Conclusion The application of MDCT has great potential value in the evaluation of the disease situation after liver transplantation, that might providehelp to the postoperative treatment.
