Severe acute pulmonary edema during living related liver transplantation surgery

Ohashi I; Kaku R; Fuji H; Nakatsuka H; Matsumi M; Morita K

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Severe acute pulmonary edema during living related liver transplantation surgery

机译：生命相关肝移植手术中的严重急性肺水肿

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We report a case of severe intraoperative pulmonary edema during living related liver transplantation (LRLT) surgery. A 60-year-old woman with end-stage primary biliary cirrhosis underwent LRLT. After administration of several units of packed red blood cells and fresh frozen plasma, a gradual decline in oxygen saturation was observed. After an unexpectedly prolonged ahepatic phase, she developed severe pulmonary edema and critical hypoxemia. Further deterioration of hypoxemia was observed after reperfuion of the portal vein. We conclude that this severe pulmonary edema was caused by transfusion related acute lung injury, and prolonged ahepatic phase with reperfusion injury deteriorated the lung condition.

机译：我们报道了一例在生活相关的肝移植（LRLT）手术期间发生严重的术中肺水肿的病例。一名患有晚期原发性胆汁性肝硬化的60岁妇女接受了LRLT。在施用了几个单位的压缩红细胞和新鲜的冷冻血浆后，观察到氧饱和度逐渐下降。在出乎意料的延长肝期后，她出现了严重的肺水肿和严重的低氧血症。再灌注门静脉后，低氧血症进一步恶化。我们得出的结论是，这种严重的肺水肿是由与输血有关的急性肺损伤引起的，长期肝期再灌注损伤使肺部疾病恶化。

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来源
《麻酔》 |2004年第8期|共4页
作者
Ohashi I; Kaku R; Fuji H; Nakatsuka H; Matsumi M; Morita K;
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正文语种 jpn
中图分类外科手术学;
关键词
Pulmonary Edema; livin; g lt; 3gt; Acute; Surgical aspects; 肺水肿;

机译：Pulmonary Edema;livin;g 3;Acute;Surgical aspects;肺水肿;

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1. Severe acute pulmonary edema during living related liver transplantation surgery [J] . Ohashi I, Kaku R, Fuji H, 麻酔 . 2004,第8期

机译：生命相关肝移植手术中的严重急性肺水肿
2. Etiology of Acute Pulmonary Edema During Liver Transplantation : A Series of Cases With Analysis of the Edema Fluid [J] . C. Spencer Yost Michael A. Matthay and Michael A. Gropper Chest . 2001,第1期

机译：肝移植过程中急性肺水肿的病因：一系列病例与水肿液分析
3. Living-donor liver transplantation for congenital biliary atresia with porto-pulmonary hypertension and moderate or severe pulmonary arterial hypertension: Kyoto University experience [J] . Ogawa Eri, Hori Tomohide, Doi Hiraku, Clinical transplantation. . 2014,第9期

机译：活体供体肝移植治疗先天性胆道闭锁合并门肺高压和中度或重度肺动脉高压：京都大学经验
4. HepaVision2 - a software assistant for preoperative planning in living-related liver transplantation and oncologic liver surgery [C] . H. Bourquain, A. Schenk, F. Link, Internationao Congress and Exhibition . 2002

机译：Hepavision2 - 一种与生物相关肝移植和肿瘤肝脏手术术前规划的软件助理
5. Quantitative Analysis of the Human Intrahepatic Biliary System Using a 3D Model: Implications for Adult-to-Adult Living Donor Liver Transplantation Surgery. [D] . Abouzaid, Kamal A. 2015

机译：使用3D模型对人肝内胆道系统进行定量分析：对成人至成人活体供体肝移植手术的影响。
6. Outcomes of Living Donor Liver Transplantation for Acute Liver Failure: The Adult-to-Adult Living Donor Liver Transplantation Cohort Study [O] . Jeffrey Campsen, Andres T. Blei, Jean C. Emond, -1

机译：活体供肝移植治疗急性肝衰竭的结果：成人到成人活体供肝移植队列研究
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Severe acute pulmonary edema during living related liver transplantation surgery

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