肝移植术后肺部感染的原因分析及对策  

Analysis of pulmonary infection facters after liver transplantation and countermeasure

作　　者：张隆群[1] 罗盛淑[1] 王小梅[2] 

机构地区：[1]重庆医科大学附属第一医院肝胆外科,重庆400016 [2]重庆医科大学附属第二医院肝胆外科,重庆400010

出　　处：《重庆医科大学学报》2007年第7期751-753,共3页Journal of Chongqing Medical University

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。Objective：To analyze the possible factors causing pulmonary infection after liver transplantation,and discuss the nursing 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 statistics. 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 

分 类 号：R575.3[医药卫生—消化系统]