CAJ | 학술논문

目的探索肝移植术后呼吸功能监测和维持的规律，提高肝移植术后管理质量。方法分析5例原位肝移植病人在术后ICU期间经历的呼吸系统并发症和常见问题。结果 4例肝移植术后出现各种呼吸道并发症19例次，包括肝肺综合征、胸腔积液、肺不张、肺充血、肺间质水肿、肺感染及呼吸道出血。结论呼吸机的使用和呼吸功能的监控是肝移植术后管理的重要环节。了解肝移植术后呼吸系统病理生理学改变的规律和特殊性，对于患者安全渡过ICU阶段至关重要。
목적 탐색간이식술후호흡공능감측화유지적규률，제고간이식술후관리질량。 방법 분석5례원위간이식병인재술후ICU기간경력적호흡계통병발증화상견문제。 결과 4례간이식술후출현각충호흡도병발증19례차，포괄간폐종합정、흉강적액、폐불장、폐충혈、폐간질수종、폐감염급호흡도출혈。 결론 호흡궤적사용화호흡공능적감공시간이식술후관리적중요배절。료해간이식술후호흡계통병리생이학개변적규률화특수성，대우환자안전도과ICU계단지관중요。
Objective To investigate the rule of respiratory functionmonitoring and management after the liver transplantation. Methods The complications and common problems of respiratory system during the ICU period are analyzed in 5 cases of liver transplantation. Results Total 19 times of postoperative respiratory complications occurred in 4 cases which included hepatopulmonary syndrome, pleural effusion, atelectasis, stethemia, pulmonary interstitial edema, pneumonia and tracheorrhagia. Conclusions It is considered that the use of respirator and monitoring of the respiratory function is very important to the postoperative management of liver transplantation. It is a key point to pass over the ICU period safely if the rules and particularity of respiratory physiopathologic changes were understood.