广西医学Issue(7)：816-818,3.DOI:10.11675/j.issn.0253-4304.2013.07.02
肝移植术后酸碱平衡的变化▲
Acid-Base Balance Changes after Liver Transplantation
摘要
Abstract
Objective To explore the change rules of acid-base balance after liver transplantation .Methods To record the transfusion volumes of red blood cells ,plasma,sodium bicarbonate and Ringer's lactate,and operation time ,intraoperative urine volume in 40 patients undergoing liver transplantation .The blood gas analysis and lactic acid value were respectively recorded at several time points such as pre-operation,entering intensive care unit(ICU),and the 1st,2nd,3rd,4th and 5th day after operation .An analysis on the indices above was conducted .Results pH,bi-carbonate (HCO3 -),beryllium (BE) were the lowest when patients’ entering ICU.pH,partial pressure carbon diox-ide (PaCO2 ),BE and HCO3 -were the highest on the 2nd day after operation,and they gradually decreased over time;pH returned to preoperative level on the 5 th day after operation while the levels of PaCO 2 ,BE and HCO 3 -were higher than those of the preoperative .Lactic acid value was the highest on the day of entering ICU , which showed a trend of gradual decline , and the decrease was the most significant on the first day after operation .Conclusion Strengthening the monitoring of acid-base balance in patients undergoing liver transplantation has an important clinical significance for management of patients after liver transplantation .关键词
肝移植/酸碱平衡/血气分析Key words
Liver transplantation/Acid-base balance/Blood gas analysis分类
医药卫生引用本文复制引用
覃一流,汤展宏,张驰,胡军涛,尹祥,董旻..肝移植术后酸碱平衡的变化▲[J].广西医学,2013,(7):816-818,3.基金项目
国家临床重点专科建设项目 （）
