کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4261270 1284592 2009 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Abdominal Compartment Syndrome Associated With Capillary Leak Syndrome After Liver Transplantation
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Abdominal Compartment Syndrome Associated With Capillary Leak Syndrome After Liver Transplantation
چکیده انگلیسی

Orthotopic liver transplantation was performed in a 49-year-old man with metastatic liver sarcoma. After surgery, both abdominal compartment syndrome (ACS) and capillary leak syndrome (CLS) developed. Exploratory laparotomy and colon exteriorization were performed. Five days later, a diagnosis of severe CLS was established, and hydroxyethyl starch was infused to prevent leakage of albumin. The patient gradually recovered over 3 weeks. Awareness of ACS and CLS is important to improve outcome because early diagnosis and immediate therapy are essential. Bladder pressure is a key factor in diagnosing ACS, and pressure of 35 mm Hg is an indication for decompressive laparotomy. During the early stage of CLS, hydroxyethyl starch but not albumin should be used to alleviate edema and hypoalbuminemia.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Transplantation Proceedings - Volume 41, Issue 9, November 2009, Pages 3927–3930
نویسندگان
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