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Early postoperative complications of pediatric liver transplantation: experience at one center.

Abstract：

:To evaluate the postoperative complications within the first month among 20 pediatric liver transplant recipients between April 1990 and March 2003 we retrospectively studied their medical charts to gather demographic data; primary diagnosis; operative duration; perioperative transfusions; time to extubation; length of intensive care unit (ICU) stay; mortality; perioperative laboratory values; and postoperative complications including respiratory, infections, renal, neurological, cardiovascular, and gastrointestinal tract (GIT) complications. Ten male and ten female patients of mean age 8 +/- 4 years had a mean operative duration, time to extubation, and length of stay in the ICU of 12.1 +/- 2.3 hours, 11.1 +/- 15.0 hours, and 7.2 +/- 5.5 days, respectively. The most frequent postoperative complication was respiratory (n = 14, 70%), followed by infections (n = 13, 65%), renal (n = 8, 40%), neurological (n = 7, 35%), cardiovascular (n = 4, 20%), and GIT (n = 4, 20%) infections. The overall mortality rate was 25% (n = 5). Compared with patients who survived, those who died displayed significantly lower perioperative platelet counts (P <.05), as well as a significantly higher incidence of postoperative neurological disorders (P =.031), and cardiovascular complications (P =.032).

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Araz C,Pirat A,Torgay A,Zeyneloglu P,Arslan G

doi

10.1016/j.transproceed.2003.11.029

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

214-7

issue

1

eissn

0041-1345

issn

1873-2623

pii

S0041134503012405

journal_volume

36

pub_type

杂志文章

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