| 栾远航,谢言虎,柴小青,等.肝移植术中血流动力学指标与术后肺部并发症的关系[J].中国临床保健杂志,2021,24(6):835-838. |
| 肝移植术中血流动力学指标与术后肺部并发症的关系 |
| Effect of PiCCO monitoring in liver transplantation on postoperative pulmonary complications |
| 投稿时间：2021-08-23 |
| DOI：10.3969/J.issn.1672-6790.2021.06.025 |
| 中文关键词: 肝移植 心排血量 手术后并发症 血管外肺水 每搏输出量 血流动力学 监测,手术中 |
| 英文关键词: Liver transplantation Cardiac output Postoperative complications Extravascular lung water Stroke volume Hemodynamics Monitoring,intraoperative 〖FL |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨肝移植术中血流动力学与术后肺部并发症的关系。方法 回顾性分析2018年7月至2020年1月在中国科学技术大学附属第一医院接受同种异体原位肝移植(OLT)28例患者的病历资料。根据术后有无出现肺部并发症将患者分为两组,即有并发症组(PPC组)和无并发症组(APC组),并比较两组间术中PiCCO监测数据的差异。结果 28例OLT患者肺部并发症的发生率为32.1%,死亡率为14.3%。术中APC组的血管外肺水指数(EVLWI)和每搏变异度(SVV)低于PPC组(P＜0.05),而胸腔内血容积指数(ITBI)、外周血管阻力指数(SVRI)和心指数(CI)高于PPC组(P＜0.05)；APC组术中氧合指数(OI)也高于PPC组(P＜0.05)。结论 肝移植术中维持较低的EVLWI、SVV和较高的ITBI、SVRI,有助于减少术后肺部并发症的发生。 |
| 英文摘要: |
| Objective To observe effect of PiCCO monitoring in liver transplantation on postoperative pulmonary complications.Methods We retrospectively analyzed the patients who received allogeneic orthotopic liver transplantation (OLT) in our hospital from July 2018 to Jan 2020.According to the occurrence of postoperative pulmonary complications,the patients were divided into two groups:the presence of pulmonary complications (PPC group) and the absence of pulmonary complications (APC group).The differences of intraoperative PiCCO monitoring data between the two groups were compared.Results Among 28 cases of patients,the incidence of pulmonary complications was 32.1% and the mortality was 14.3%.The extravascular lung water index (EVLWI) and stroke volume variation (SVV) in APC group were lower than those in PPC group (P<0.05),while the intrathoracic blood volume index (ITBI),systemic vascular resistance index (SVRI) and cardiac index (CI) in APC group were higher than those in PPC group (P<0.05).The intraoperative oxygenation index (OI) in APC group was also higher than that in PPC group (P<0.05).Conclusions Multi-objective hemodynamic monitoring by PiCCO monitor is helpful to reduce the incidence of pulmonary complications after OLT by maintaining the lower level of EVLWI and SVV and the higher level of ITBI and SVRI. |
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