Perioperative liver transplantation of blood component transfusion.doc

 PAGE \* MERGEFORMAT 7 Perioperative liver transplantation of blood component transfusion Study: Song Xiangyu, Yin the United States, Shen Lan Zhuo, Xu Jian, Li Jiang [Abstract] Objective?: To investigate the perioperative liver transplantation blood transfusion. Methods: The First Affiliated Zhejiang University, Second Hospital from April 2002 to May 2006, 54 cases of orthotopic liver transplant patients, according to patient survival after transplantation or not, into the survival group and death group, platelet count before transplantation, respectively (Plt), prothrombin time (PT), activated partial thromboplastin time (APTT) and fibrinogen (Fig) measurement, statistics of the group of patients blood transfusion. Results: The survival of death group compared with before transplantation Plt, Fig significantly lower (P lt;0.05); PT, bleeding, blood transfusion was significantly higher (P lt;0.05). Conclusion: before transplantation Plt, Fig lower, PT higher, the greater the amount of bleeding transplantation, the greater the amount of blood transfusion, transplantation higher mortality, the proposed selective infusion of blood components. [Keywords:] liver transplantation; bleeding; component transfusion Out coagulopathy, massive bleeding during liver transplantation is the thorny problem. Liver transplant recipients before surgery that there are different degrees, coagulation disorders and bleeding tendency [1]. As long liver transplant surgery, trauma, surgery may be many unforeseen difficulties, all liver transplant recipients with end-stage liver disease, there is the body of metabolic dysfunction and multiple organ dysfunction, therefore, before and after surgery, a large number of blood products need to Shu Zhu, to correct a coagulation disorder. As pre-anhepatic, anhepatic phase and a new cause of bleeding in the liver of different components of the infusion should be flexibility, proper treatment, to get the desired results. author statist