Perioperative Risk Factors for Pulmonary Complications After Liver Transplantation  

Oleh:

Lin, Y.H. ; Cai, Z.S. ; Jiang, Y. ; Lu, L.Z. ; Zhang, X.J. ; Cai, Q.C.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Journal of International Medical Research vol. 38 no. 05 (Sep. 2010), page 1845-1855.
Topik: LIVER; End-Stage Liver Disease; Liver Transplantation; Pulmonary Complications; Risk Factors; Blood Transfusion; Fluid Replacement; Meld Score; Negative Fluid Balance
Fulltext: s32.pdf (156.75KB)

Ketersediaan

Perpustakaan FK Nomor Panggil: J11.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Using monofactorial and multivariate logistic regression analyses, the correlation of perioperative risk factors with postoperative pulmonary complications (PPCs) within 1 month after orthotopic liver transplantation (OLT) was investigated. Data on 107 patients (median age 46.8 years, 72% male) with end-stage liver disease who received OLT were retrospectively analysed. The incidence of PPCs was 60.7%. Overall mortality was 13.1% and pulmonary causes accounted for 85.7% of deaths. Mortality was 18.5% and 4.8% for patients with and without pulmonary complications, respectively. Independent risk factors for PPCs were a preoperative model for end-stage liver disease (MELD) score = 25, intraoperative fluid transfusion volume > 10 l and intraoperative blood transfusion volume > 4 l. A fluid balance of = -300 ml for = 2 days of the first 3 days after surgery was protective. Other variables studied did not predict PPCs. It was concluded that improving the patient's preoperative medical condition, restricting intraoperative transfusion volumes and maintaining a negative fluid balance in the first 3 days after operation may decrease PPCs.

Opini Anda

Klik untuk menuliskan opini Anda tentang koleksi ini!

Kembali