Moulin D, Paris E, Kalenga M, Francois G, Reynaert M, Tremouroux J, Carlier M A, Veyckemans F, Scholtes J L, Gouverneur J M
Acta Anaesthesiol Belg. 1985 Sep;36(3):214-21.
Eight children 1 to 13 years old, were submitted to OLT. Six patients had normal liver function and complete rehabilitation 4 to 17 months after OLT. Two patients died during their ICU course respectively on day 15 and 34 after operation. The ICU management of the surviving patients is compared to the two fatal cases. At the time of admission in the ICU, there was no difference between the two groups, except for age. All patients were physiologically stable and needed essentially continuous monitoring and nursing care. All were rapidly weaned off artificial ventilation. During the first week after operation, surviving patients demonstrate improvement of liver function test, absence of infection, normal renal function and short ICU stay. They all suffered from systemic hypertension easily controlled by drugs. The two fatal cases were less than 15 months old and did not show improvement of their liver function. They suffered from severe infection, renal failure and protracted systemic hypertension and needed prolonged invasive monitoring and therapy.
8名年龄在1至13岁的儿童接受了肝移植手术（OLT）。6名患者肝功能正常，在肝移植术后4至17个月完全康复。2名患者分别在术后第15天和第34天的重症监护病房（ICU）治疗过程中死亡。将存活患者的ICU管理情况与这两例死亡病例进行了比较。在入住ICU时，除年龄外，两组之间没有差异。所有患者生理状况稳定，基本都需要持续监测和护理。所有患者均迅速撤掉了人工通气。术后第一周，存活患者肝功能检查结果有所改善，未发生感染，肾功能正常，在ICU的住院时间较短。他们都患有易于通过药物控制的全身性高血压。这两例死亡病例年龄均小于15个月，肝功能未显示改善。他们患有严重感染、肾衰竭和持续性全身性高血压，需要长时间的有创监测和治疗。
