Analysis of pulmonary infection facters after liver transplantation and countermeasure

ZHANG Longqun

doi:10.13406/j.cnki.cyxb.2007.07.007

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Analysis of pulmonary infection facters after liver transplantation and countermeasure

更新时间：2024-01-17

- Analysis of pulmonary infection facters after liver transplantation and countermeasure
- Journal of Chongqing Medical University Issue 7, Pages: 751-753(2007)
- 作者机构：
  
  1. 重庆医科大学附属第一医院肝胆外科
  2. 重庆医科大学附属第二医院肝胆外科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2007.07.007
  CLC： R473.6
- Published：2007，
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[1]张隆群,罗盛淑,王小梅.肝移植术后肺部感染的原因分析及对策[J].重庆医科大学学报,2007(07):751-753.

ZHANG Longqun. Analysis of pulmonary infection facters after liver transplantation and countermeasure. [J]. Journal of Chongqing Medical University (7):751-753(2007)
[1]张隆群,罗盛淑,王小梅.肝移植术后肺部感染的原因分析及对策[J].重庆医科大学学报,2007(07):751-753. DOI： 10.13406/j.cnki.cyxb.2007.07.007.

ZHANG Longqun. Analysis of pulmonary infection facters after liver transplantation and countermeasure. [J]. Journal of Chongqing Medical University (7):751-753(2007) DOI： 10.13406/j.cnki.cyxb.2007.07.007.

摘要

目的:分析肝移植术后肺部感染的可能原因

并讨论围手术期的护理措施。方法:回顾性总结本移植中心52例肝移植病人的临床资料

对可能引起肺部感染的危险因素进行单因素t检验统计分析和logistic多元回归分析。结果:52例肝移植发生术后肺部感染16例

感染率30.76%。单因素统计分析P<0.05的因素有:术中输血量

手术时间

无肝期时间

术后使用呼吸机天数

ICU治疗天数

术后胆红素值

血小板计数值和凝血酶原时间

对以上因素进行logistic多元回归分析

P<0.05的因素有:术中输血量

手术时间

术后呼吸机使用时间

凝血酶原时间。结论:术中输血量过多

长时间手术

无肝期太长

术后长时间呼吸机使用

凝血酶原值显著延长是导致术后肺部感染的重要危险因素。

Abstract

Objective:To analyze the possible factors causing pulmonary infection after liver transplantation

and discuss the nurs- ing intervention during perioperation.Method:Clinical data of 52 liver transplantation patients were collected.Risk factors were analyzed using one element t-test analysis and logistic regression analysis.Results.16(30.76%)of 52 patients had pulmonary infection.The result of t-test indicated:intraoperation blood transfusion amout

operation term

nonliver term

breathing machine using term

ICU treatment

bilirubin and PT had statistical significance.Analyzed to above facters with logistic regression

we found intraoperation blood transfusion amout

operation term

breathing machine using term and PT were significant on statis- tics.Conclusion:Risk facters of postoperation pulmonary infection included:a great quantity of blood transfusion

long term operation and nonliver

Long stage using of breathing machine and extension of PT.

关键词

肝移植肺感染对策

Keywords

liver transplantationPulmonary infectioncountermeasure

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Department of Preventive Health Care and Infection Control

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Department of Anesthesia,College of Clinical Medicine,Chongqing Medical University

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