氧疗对肝移植围手术期患者肺动脉压及氧动力学的影响及护理  

Effect of oxygen therapy on pulmonary arterial pressure and oxygen kinetics in patients after liver transplantation

作　　者：陈丽丽[1] 罗显荣[1] 曾国兵[1] 余宙耀[1] 刘树仁[1] 

机构地区：[1]解放军第458医院,广东广州510602

出　　处：《现代临床护理》2009年第3期15-16,共2页Modern Clinical Nursing

摘　　要：目的探讨背驮式肝移植围手术期氧疗对患者肺动脉压和氧动力学的影响及总结给氧护理要点。方法2006年6月～2007年10月对10例肝移植患者实施氧疗,在病情稳定时停用呼吸机,观察患者在停止氧疗60min前后血流动力学变化情况。结果患者吸氧期间比停止吸氧后60min平均肺动脉压(mPAP)明显降低(P<0.01),氧分压(PaO2)明显升高(P<0.001)。结论背驮式肝移植围手术期吸氧可降低患者肺动脉压和提高PaO2。给氧过程应调节好氧流量,并观察用氧后病情的变化。Objective To study the impact of oxygen therapy on pulmonary arterial pressure and oxygen kinetics changes in peri-operative period of piggyback liver transplantation. Methods Ten patients who had liver transplantation in our hospital form June 2006 to October 2007 were given oxygen therapy until their conditions were stabilized. The hemodynamics changes in patients 60 minutes before and after oxygen therapy was stopped. Result PaO2 was increased significantly and mPAP was decreased significandy during oxygen therapy （P 〈 0.01）. Conclusion Oxygen therapy during operation can decrease arterial pressure and and increase PaO2 , which is of clinical significance in patients during piggyback liver transplantation.

关 键 词：肝移植 氧疗 护理 

分 类 号：R473.6[医药卫生—护理学]