多排CT对肝移植成人受体术后并发ARDS患者肺部改变的评估作用

摘要

Objective To evaluate the multi-detector CT (MDCT) on pulmonary changes in post-operative adult receptor of liver transplantation complicated with acute respiratory distress syndrome (ARDS).Methods Nineteen adult patients admitted into Tianjin First Center Hospital from January to December 2016 to perform the first time liver transplantation were enrolled in this study. Before operation, the CT showed no significant abnormality in the patients' lungs, after operation MDCT was applied to observe the pulmonary changes of ARDS post-operative complication in the adult receiver of liver transplantation, and the pulmonary changes in different gender of patients were analyzed and compared.Results MDCT showed that after liver transplantation all the 19 patients (100%) had lung pathological changes, of whom 18 cases (94.7%) manifested 2 or more than 2 kinds of pulmonary changes, including consolidation shadows (12 cases, 63.2%), patchy shadows (2 cases, 10.5%), ground glass opacity (6 cases, 31.5%) and pleural effusion (18 cases, 94.7%). In the comparisons between male and female patients with post-operative ARDS after liver transplantation, there were no significant differences in the lung pathological changes shown in MDCT (allP > 0.05) statistically.Conclusion The application of MDCT has great potential value in the evaluation of the disease situation after liver transplantation, that might providehelp to the postoperative treatment.%目的 探讨多排CT(MDCT)对肝移植成人受体术后并发急性呼吸窘迫综合征(ARDS)肺部特征改变的评估作用.方法 选择2016年1月至12月首次在天津市第一中心医院接受肝移植的成人患者19例,术前肺部CT未见明显异常,采用MDCT观察肝移植成人受体术后并发ARDS患者的肺部改变,分析并比较不同性别患者肺部的改变情况.结果 MDCT显示:19例(占100%)患者的肺部均有病理改变,其中18例(占94.7%)患者存在两种或两种以上的肺部改变,包括实变影(12例,占63.2%)、斑片影(2例,占10.5%)、磨玻璃密度影(6例,占31.5%),18例(占94.7%)患者存在胸腔积液.肝移植成人受体术后并发ARDS的患者肺部MDCT改变中,男性和女性患者肺部改变差异无统计学意义(均P>0.05).结论 MDCT的应用在肝移植术后病情评估中具有极大潜力,可为术后治疗提供帮助.