Đánh giá ảnh hưởng một số yếu tố trước và trong phẫu thuật đến kết cục rút ống nội khí quản ngay sau phẫu thuật trên bệnh nhân ghép gan từ người hiến tạng sống=Evaluating the impact of pre- and intraoperative factors for immediate tracheal extubation post operative outcome in living donor liver transplant recipient

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Tác giả: Hoàng Hải Đặng, Thị Luyện Đặng, Thị Phương Đặng, Thị Thu Trang Đinh, Văn Định Ngô, Văn Thành Ngô, Thu Thảo Ngụy, Minh Lý Nguyễn, Thị Nga Nguyễn, Trương Thọ Nguyễn, Xuân Hùng Tống, Đức Hưng Trần, Thị Lê Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2023

Mô tả vật lý: tr.192-201

Bộ sưu tập: Metadata

ID: 477583

Thêm vào giỏ

Ghép gan là phương pháp điều trị cuối cùng cho những bệnh nhân mắc bệnh lí gan mật giai đoạn cuối, suy gan cấp và ung thư gan. Rút ống nội khí quản ngay sau phẫu thuật cho các bệnh nhân ghép gan phụ thuộc vào nhiều yếu tố. Đối tượng và phương pháp nghiên cứu: Tiến cứu, mô tả cắt ngang các bệnh nhân ghép gan từ người hiến tạng sống tại Bệnh viện Trung ương Quân đội 108 từ 07/2020 - 10/2021. Kết quả: Có 40 bệnh nhân ghép gan từ người hiến tạng sống từ 07/2020 - 10/2021. Trong đó có 37 BN nam (92,5%)
31 BN nhiễm virus viêm gan B, C (77,5%)
17 BN mắc bệnh lí ác tính (42,5%), 12 BN xơ gan mất bù (30%)
02 BN suy gan cấp (5%)
09 BN suy gan cấp trên nền suy gan mạn (22,5%). 34 BN được rút ống nội khí quản ngay sau phẫu thuật (85%) với thời gian chờ rút trung bình 8,62 ± 2,49 phút. Kết luận: Các yếu tố liên quan đến kết cục rút ống NKQ ngay sau phẫu thuật: Nguyên nhân ghép gan
điểm MELD
chức năng các tạng trước phẫu thuật
tổng thể tích dịch truyền, thể tích hồng cầu khối và huyết tương tươi
liều vận mạch cuối phẫu thuật
thời gian phẫu thuật và gây mê.Liver transplantation is the ultimate treatment method for patients with end-stage liver disease, acute liver failure, and hepatocellular carcinoma. Post operative immediate tracheal extubation in the liver transplant recipient depends on various factors. Method: Prospectic, cross section study a group of living donor liver transplantation in Central Military Hospital 108 from July 2020 to October 2021. Results: There were 40 patients in Central Military Hospital 108 from July 2020 to October 2021. 37 male patients (92.5%)
31 patients were infected with hepatitis B or C virus (77.5%)
17 patients had malignant diseases (42.5%)
12 patients had decompensated cirrhosis (30%)
2 patients had acute liver failure (5%)
and 9 patients had acute-on-chronic liver failure (22.5%). In 34 patients, extubation was performed immediately after surgery (85%), with an average extubation time of 8.62 ± 2.49 minutes. Conclusion: Factors related to the immediate tracheal extubation outcome immediately after surgery included the reason for liver transplantation
MELD score
preoperative organ function
total transfusion volume, packed red blood cell and fresh frozen plasma volume
vasopressor dose at the end of surgery
surgery and anesthesia duration.

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