术内乳酸水平和乳酸清除与肝移植接受者的长期死亡率有关
Akira Katayama1,2, Ezeldeen Abuelkasem1, Marianne M Ligon1
1Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Anesthesia and pain medicine
|February 10, 2026
概括
术内乳酸水平和乳酸清除是肝移植 (LT) 接受者的死亡率的独立预测指标. 在手术期间监测这些可以帮助预测患者的生存结果.
科学领域:
- 移植研究 移植研究
- 关键护理医学 关键护理医学
- 临床生物化学 临床生物化学
背景情况:
- 超乳糖血症与临床环境中的不良结果有关,包括肝移植 (LT).
- 术后乳酸水平和清除对LT后长期死亡率的确切影响需要进一步研究.
研究的目的:
- 调查肝移植接受者手术时乳酸水平,乳酸清除率和短期和长期死亡率之间的关联.
- 确定手术内乳酸指标是否可以作为LT后死亡率的独立预测指标.
主要方法:
- 对1067名接受LT治疗的患者进行了回顾性分析.
- 使用手术内乳酸测量计算时间加权平均乳酸 (TWAL).
- 基于输血后和手术结束时的乳酸水平评估乳酸清除.
- 多变量分析以确定死亡率的独立预测因素.
主要成果:
- 较高的手术内乳酸水平与30天,1年和3年生存率明显降低相关 (P < 0.001).
- 没有幸存者的乳酸清除值显著降低 (P < 0.003).
- TWAL和乳酸清除与所有死亡时间点 (P < 0.001) 独立相关.
结论:
- 术内乳酸水平和乳酸清除都是肝移植后死亡率的显著独立预测指标.
- 在手术期间的乳酸监测是预测LT接受者的短期和长期死亡率的宝贵工具.
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