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目的分析肾移植术后早期发生急性呼吸衰竭的原因,探讨机械通气在抢救中的价值。方法对16例肾移植术后1个月内发生急性呼吸衰竭的临床资料进行回顾性分析。结果发生呼吸衰竭的主要原因为心力衰竭所致的肺水肿和严重的肺部感染;按是否发生心力衰竭,将患者分为心力衰竭组和非心力衰竭组,发现心力衰竭组患者年龄大、术前血压高、接受血液透析的时间长、呼吸衰竭发生早,但需要机械通气治疗的时间短于非心力衰竭组;机械通气能迅速提高血氧分压,纠正缺氧,维持血氧分压在理想的水平。结论肾移植患者术后早期发生呼吸衰竭的主要原因是心力衰竭所致的急性肺水肿和严重的肺部感染;机械通气在治疗中有着重要的价值,为原发病的治疗赢得时间,从而改善患者的预后。
Objective To analyze the causes of early acute respiratory failure after kidney transplantation and to explore the value of mechanical ventilation in the rescue. Methods The clinical data of 16 cases of acute respiratory failure within one month after renal transplantation were analyzed retrospectively. Results The main cause of respiratory failure was pulmonary edema caused by heart failure and severe pulmonary infection. According to the occurrence of heart failure, the patients were divided into heart failure group and non-heart failure group. The patients with heart failure group were older, Prehypertension, hemodialysis for a long time, respiratory failure occurred early, but the need for mechanical ventilation treatment shorter than non-heart failure group; mechanical ventilation can quickly increase the partial pressure of oxygen, correct hypoxia, to maintain partial pressure of oxygen The ideal level. Conclusion The main cause of early postoperative respiratory failure in renal transplant recipients is acute pulmonary edema and severe pulmonary infection caused by heart failure. Mechanical ventilation is of great value in the treatment, which will lead to the improvement of the treatment of the primary disease The patient’s prognosis.