CLINICAL ANALYSIS AND TREATMENT OF ACUTE LUNG INJURY AFTER LIVER TRANSPLANTATION
- VernacularTitle:肝脏移植术后急性肺损伤的临床观察与处理
- Author:
Ruojun WU
;
Bingyi SHI
;
Jingtao LIU
;
Al ET
;
- Publication Type:Journal Article
- Keywords:
liver transplantation;
respiratory distress syndrome, adult;
intensive care
- From:
Medical Journal of Chinese People's Liberation Army
2001;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze causative factors and treatment of acute lung injury (ALI) after liver transplantation. Methods the correlative parameters, including electrocardiogram, blood oxygen saturation, blood pressure, hemodynamics, blood sugar, analysis of arterial blood gases, and other clinical examinations were monitored dynamically. The recipients were treated with oxygen inhalation, antibiotics, immunosuppressant, drugs for liver protection, nutritional support, diuretics, and vasodilators. Results Three of a total of 21 patients died within 48h post operation. Fourteen patients suffered from ALI (14/18, 77 8%), who recoverd after receiving appropriate treatment. Conclusion The occurrence of ALI is related to the primary disease, operative trauma, instability of the hemodynamics, and the quantity of blood loss. Systemic treatment is necessary for the patients with ALI besides the oxygen therapy.
