Relationship between central venous pressure and organ function in early period after liver transplantation
10.3760/cma.j.issn.0254-1785.2017.10.002
- VernacularTitle:肝移植后早期中心静脉压水平与各器官功能之间的关系
- Author:
Chun ZHANG
1
;
Ying DI
;
Na LI
;
Jianhua SHI
;
Huanchen SHA
;
Xiaogang ZHANG
;
Zheng WANG
;
Xuemin LIU
;
Bo WANG
Author Information
1. 710061,西安交通大学第一附属医院肝胆外科
- Keywords:
central venous pressure;
liver transplantation
- From:
Chinese Journal of Organ Transplantation
2017;38(10):584-588
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the relationship of central venous pressure (CVP) and organ function in early period after orthotopic liver transplantation (OLT).Methods A retrospective study was conducted on 111 patients who underwent OLT.According to the value of mean CVP after OLT,all patients were divided into three groups:low CVP group (CVP＜8 rnmHg,1 rnmHg =0.133 kPa),normal CVP group (CVP 8-12 mmHg) and high CVP group (CVP ＞12 mmHg).Meanwhile,According to whether the CVP dropped below 8 mmHg or not in the past 48h after surgery,all patients were divided into two groups.Results There were significant differences in serum total bilirubin,serum creatinine and serum lactate among low,normal,and high CVP groups (P＜0.05).The time of vasoactive agent,fluid balance,time of mechanical ventilation and incidence of acute kidney injury in groups with CVP not dropped below 8 rnmHg were higher than those in groups with CVP dropped below 8 mmHg (P＜0.05).Conclusion CVP was associated with liver,kidney,lung function and lactate.Controlling a lower CVP can significantly shorten the time of mechanical ventilation and reduce the incidence of acute kidney injury after OLT.
