Abstract:

This study summarized experience of application of fluid management strategy in prevention of primary graft dysfunction for 19 cases of lung transplantation. According to patient’s blood pressure,central venous pressure,transplanted pulmonary edema fluid,urine volume,amount of bleeding,blood lactic acid and previous blood pressure levels,etc.,individualized fluid management strategy was provided after comprehensive analysis. The condition of 18 patients was improved significantly and patients were transferred to the thoracic surgery ward for further treatment,and one patient died.

Key words: Lung Transplantation, Fluid Management, Primary Graft Dysfunction

摘要：

总结液体管理策略在预防19例肺移植患者术后原发性移植物功能丧失中的应用经验。根据患者术后血压、中心静脉压、移植肺水肿液、尿量、出血量、血乳酸及既往血压水平等因素进行综合分析,制订并实施个体化液体管理策略。本组18例肺移植术后患者病情明显好转后转往胸外科病房继续治疗,1例死亡。

关键词: 肺移植, 液体管理, 原发性移植物功能丧失