Multi-disciplinary team on acute heart failure complicated with respiratory failure after allograft nephrectomy
10.3969/j.issn.1674-7445.2021.01.011
- VernacularTitle:移植肾切除术后急性心力衰竭合并呼吸衰竭的多学科综合诊疗
- Author:
Guangna LYU
1
;
Ning LI
;
Yuan NING
;
Wenping GUO
Author Information
1. Department of Renal Transplantation, the Second People's Hospital of Shanxi Province, Taiyuan 030012, China
- Publication Type:Research Article
- Keywords:
Hemorrhagic shock;
Allograft nephrectomy;
Acute myocardial infarction(AMI);
Acute heart failure(AHF);
Acute pulmonary congestion;
Pulmonary infection;
Acute respiratory failure;
Multi-disciplinary team(MDT)
- From:
Organ Transplantation
2021;12(1):70-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of multi-disciplinary team (MDT) on acute heart failure (AHF) complicated with respiratory failure after allograft nephrectomy. Methods MDT discussion was performed on a patient with hemorrhagic shock caused by sudden renal graft hemorrhage, who developed acute myocardial infarction (AMI) with AHF, acute pulmonary congestion, pulmonary infection and acute respiratory failure 2 weeks after allograft nephrectomy. And treatment plan was formulated and effect evaluation was conducted. Results Based on the opinions of MDT discussion, the patient was given nasal high-flow oxygen therapy, continuous veno-venous hemodiafiltration (CVVHDF) to reduce cardiac load, anticoagulant, dilating blood vessels, reducing myocardial oxygen consumption, improving myocardial remodeling, lipid regulation, anti-infection, nutritional support, and other comprehensive treatment. The clinical outcome of the patient was good and regular hemodialysis treatment was resumed. Conclusions Application of MDT pattern helps to formulate a comprehensive and effective individualized treatment plan for patients with AHF and respiratory failure after allograft nephrectomy, which can enhance clinical treatment effects and improve prognosis of patient.
