肝移植患者的气管切开术。

Baodong Wang, Aihua Sun, Jianchun Liao, Huanhai Liu, Chunsheng Zhu
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引用次数: 0

摘要

目的:探讨肝移植患者气管切开术的适应证、并发症及预防措施。方法:总结45例肝移植气管切开术患者的资料。结果:25例(54.35%)患者气管切开后1个月内成功取出气管插管。气管切开后出血11例,均止血成功。2例发生皮下肺气肿。4例发生气管瘘感染。痰中常见细菌培养阳性9例。无其他手术并发症发生。结论:肝移植患者气管切开术的适应症包括呼吸道并发症和下呼吸道感染。术后出血和感染是主要并发症,应采取有效措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Tracheotomy in patients with liver transplantation].

Objective: To investigate the indications, complications and their prevention of tracheotomy in patients with liver transplantation.

Method: Data of 45 patients with liver transplantation who underwent tracheotomy were summarized.

Result: Twenty-five patients(54.35%) succeeded in removing trachea cannula in one month after tracheotomy. Hemorrhage after tracheotomy occurred in 11 patients and haemostasis succeeded in all of them. Subcutaneous emphysema occurred in 2 patients. Infection of tracheal fistula occurred in 4 patients. Common bacterial culture of sputum was positive in 9 patients. No other operative complication occurred.

Conclusion: Indications of tracheotomy in patient with liver transplantation include respiratory complication and lower respiratory tract infection. Postoperative hemorrhage and infection are the main complications and available measures should be adopted.

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