CAJ | 학술논문

目的总结分析肾移植患者接受非移植相关手术的围手术期处理方法，主要是麻醉的处理方法。方法回顾性分析20例肾移植患者接受非移植相关手术的麻醉处理方法。结果20例患者中采用局部麻醉1例(5％)、椎管内麻醉4例( 20％)、全身麻醉15例(75％)。手术时间30～260 min，患者均安全平稳渡过围手术期。结论肾移植患者接受再次手术时对麻醉要求高，手术前麻醉医生要了解患者的病理生理状态，并与移植医生、手术医生有良好的沟通和相互配合。
목적총결분석신이식환자접수비이식상관수술적위수술기처리방법，주요시마취적처리방법。방법회고성분석20례신이식환자접수비이식상관수술적마취처리방법。결과20례환자중채용국부마취1례(5％)、추관내마취4례( 20％)、전신마취15례(75％)。수술시간30～260 min，환자균안전평은도과위수술기。결론신이식환자접수재차수술시대마취요구고，수술전마취의생요료해환자적병리생리상태，병여이식의생、수술의생유량호적구통화상호배합。
Objective To summarize and analyse the perioperative management especially theanesthesia of 20 kidney transplant recipients in non-transplant surgery. Method The anesthesia management of 20 kidney transplant recipients in non-transplant surgery was analyzed retrospectively. Results In 20 cases, 1 case (5％) was performed under local anesthesia,4 cases (20％) were performed under intravertebral anesthesia and 15 cases (75％) were performed under general anesthesia. The operation time was 30-260 min, all cases were managed successfully. Conclusion It is still a clinical challenge to deal with the surgical patients after kidney transplantation, and it needs fully understanding of the pathophysiological status of the patient and closely collaboration of transplant physicians, anesthesiologists and the surgeons.