肝移植围手术期死亡原因分析及防治措施 |
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引用本文: | 陆宏伟,史宪杰,纪文斌,段伟东,董家鸿. 肝移植围手术期死亡原因分析及防治措施[J]. 陕西医学杂志, 2012, 41(8): 954-956 |
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作者姓名: | 陆宏伟 史宪杰 纪文斌 段伟东 董家鸿 |
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作者单位: | 西安交通大学医学院第二附属医院普外科,西安710004;中国人民解放军总医院肝胆外科 |
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基金项目: | 第四十七批中国博士后科学基金面上项目 |
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摘 要: | 目的:分析肝移植围手术期死亡的原因并探讨防治方法。方法:回顾性分析26例肝移植围手术期死亡病例的临床资料,观察术前曾行相关治疗、术中出血量及输血量、术中及术后并发症、围手术期手术次数及死亡原因。结果:死亡患者术前肝、肾、凝血功能较差,术前多数曾行相应手术治疗,术中出血量及输血量较多,术后并发症发生率高,死亡原因主要为MODS、感染及出血。结论:肝移植围手术期间应严密关注影响患者预后的每一个危险环节,术前应精密设计,术中要精细操作,术后需精心管理,做到预防为主,积极个体化治疗,提高肝移植的成功率。
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关 键 词: | 肝移植 围手术期医护 死亡原因 |
Analysis on the causes of perioperative death in liver transplantation and the prevention methods |
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Affiliation: | Department of General Surgery,the Second Affiliated Hospital of Xi’an Jiaotong University(Xi’an 710004) Lu Hongwei Shi Xianjie Ji Wenbin et al |
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Abstract: | Objective:To analyze the causes of perioperative death in liver transplantation and investigate the prevention methods.Methods:To retrospect 26perioperative death cases in liver transplantation,observe the rel-evant treatments had been given,the volumes of hemorrhage and blood transfusion during operation,the complica-tions,the operation times and the causes of death.Results:The functions of liver,renal and blood coagulation before operation in these cases were poor and most of cases had accepted other operations before liver transplantation;the a-mounts of hemorrhage and blood transfusion during operation were large and the incidence of complications was high;the main causes of death were MODS(multiple organ dysfunction syndrome),infection and hemorrhage.Con-clusion:In order to improve the achievement ratio of liver transplantation,we should pay close attention to every risk factor,think highly of prevention and individualized treatment in the preoperative period. |
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Keywords: | Liver transplantation Perioperative care Cause of death |
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