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肝移植术后早期精神并发症病因分析
引用本文:许幂,齐海智,贺志军,胡伟,司中洲,李一宁. 肝移植术后早期精神并发症病因分析[J]. 医学临床研究, 2008, 25(10)
作者姓名:许幂  齐海智  贺志军  胡伟  司中洲  李一宁
作者单位:中南大学湘雅二医院普外器官移植科,湖南,长沙,410011
摘    要:
[目的]探讨肝移植术后早期患者出现精神并发症的原因及诊治经验.[方法]回顾性分析本院近3年47例肝移植患者病例资料,总结术后出现精神并发症的原因,诊断及治疗措施.[结果]47例患者中有13例出现精神并发症,最早出现于术后d3,最晚术后d15;其中表现为睡眠障碍者11例,躁狂5例,幻视2例,抑郁5例,自杀倾向2例;若术前即存在肝性脑病术后则易出现精神并发症;精神并发症的出现还可能与免疫抑制剂的使用,手术时间的长短以及术后患者内环境和外环境的状态有关.[结论]肝移植术后早期出现的精神并发症多无神经系统的器质性病变,症状较轻,通过对症处理预后较好.

关 键 词:肝移植  手术后并发症  精神病/病因学

Etiological Analysis and Treatment of Early Psychiatric Complications in Patients after Liver Transplantation
XU Mi,QI Hai-zhi,HE Zhi-jun,et al. Etiological Analysis and Treatment of Early Psychiatric Complications in Patients after Liver Transplantation[J]. Journal of Clinical Research, 2008, 25(10)
Authors:XU Mi  QI Hai-zhi  HE Zhi-jun  et al
Affiliation:XU Mi,QI Hai-zhi,HE Zhi-jun,et al(Department of Organ Transplantation of General Surgery,Second Xiangya Hospital,Central South University,Changsha 410011,China)
Abstract:
[Objective]To explore the etiopathogenisis and treatment of early psychiatric complications in patients after liver transplantation.[Methods] A retrospective study was made by analyzing the clinical data of 47 cases of liver transplantation in our hospital in recent 3 years to summarize the etiopathogenisis,diagnosis and treatment of psychiatric complications.[Results]There were 13 of 47 cases who occurred psychiatric complications during the 3rd day to the 15th day after operation,including 11 cases with s...
Keywords:liver transplantation  postoperative complications  psychotic disorders/ET  
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