摘要
目的 :探讨活体供肝原位部分肝移植的麻醉处理。方法 :3例肝豆状核变性患儿在全麻下行活体原位部分肝移植 ,术中连续监测体温、血流动力学、血气、生化、凝血功能及血常规。结果 :与术前相比 ,术中血钾、血糖、凝血功能、血红蛋白、心率、体温均有显著变化。结论 :在确保供体安全的同时维持受体的血流动力学稳定 ,随时纠正水电解质和酸碱平衡的紊乱 ,加强血气。
Objective:To investigate the anesthesia management of orthotopic living related part liver transplantation.Methods:Three paediatric patients with heptolenticular degeneration un dergoing orthotopic living related part liver transplantation were all under gen eral anesthesia. Temperature,Hemodynamics, blood routine, gas, biochemical chan ges and coagulation were continuously monitored during the operation. Results: The perioperative changes of blood potassium, glucose, clotti n g function, hemoglobin, heart rate and temperature are of significant difference compared with the preoperative. Conclusion:Besides ensuring the safety of donor, maintaining hemodynam ic stability, correcting fluid electrolyte and acid base disorder in time, rein forcing the monitoring and adjustment of blood gas, biochemical alterations and clotting function are the most important things of successful operation on recip ient.
出处
《南京医科大学学报（自然科学版）》
CAS
CSCD
北大核心
2001年第6期496-499,共4页
Journal of Nanjing Medical University(Natural Sciences)
基金
江苏省科委科研基金重点课题资助项目 (BJ980 2 5)
关键词
麻醉
原位部分肝移植
活体供肝
anesthesia
orthotopic part liver transplantation
liv ing
