中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
33期
20-22
,共3页
韩爱迪%陈晔凌%许爱军%艾玲%张传汉%罗爱林%田玉科%王学仁
韓愛迪%陳曄凌%許愛軍%艾玲%張傳漢%囉愛林%田玉科%王學仁
한애적%진엽릉%허애군%애령%장전한%라애림%전옥과%왕학인
肾移植%麻醉%围手术期医护
腎移植%痳醉%圍手術期醫護
신이식%마취%위수술기의호
Kidney transplantation%Anesthesia%Perioperative care
目的 探讨亲属肾移植手术的麻醉处理.方法 回顾性分析83组亲属肾移植手术(亲属活体供肾切除和肾移植)麻醉资料.结果 83组亲属肾移植均成功完成,供体肾切除手术时间(130.14±27.45) min,失血量(125.09±80.34) ml,麻醉过程较平稳.受体肾移植手术时间(134.46±29.05) min,失血量(124.47±159.41)ml,其中1例术中出血较多,输入浓缩红细胞4U.结论 通过麻醉医生和移植医生的充分合作沟通,麻醉前精心准备,选择合适的麻醉药物和麻醉方法,供体和受体可以安全平稳地渡过围手术期.
目的 探討親屬腎移植手術的痳醉處理.方法 迴顧性分析83組親屬腎移植手術(親屬活體供腎切除和腎移植)痳醉資料.結果 83組親屬腎移植均成功完成,供體腎切除手術時間(130.14±27.45) min,失血量(125.09±80.34) ml,痳醉過程較平穩.受體腎移植手術時間(134.46±29.05) min,失血量(124.47±159.41)ml,其中1例術中齣血較多,輸入濃縮紅細胞4U.結論 通過痳醉醫生和移植醫生的充分閤作溝通,痳醉前精心準備,選擇閤適的痳醉藥物和痳醉方法,供體和受體可以安全平穩地渡過圍手術期.
목적 탐토친속신이식수술적마취처리.방법 회고성분석83조친속신이식수술(친속활체공신절제화신이식)마취자료.결과 83조친속신이식균성공완성,공체신절제수술시간(130.14±27.45) min,실혈량(125.09±80.34) ml,마취과정교평은.수체신이식수술시간(134.46±29.05) min,실혈량(124.47±159.41)ml,기중1례술중출혈교다,수입농축홍세포4U.결론 통과마취의생화이식의생적충분합작구통,마취전정심준비,선택합괄적마취약물화마취방법,공체화수체가이안전평은지도과위수술기.
Objective To analyze the anesthetic management of 83 pairs relative kidney transplantation.Methods The data of anesthetic management of 83 pairs relative kidney transplantation were retrospectively summarized.Results All transplantation were successfully processed,the mean time for living-donor nephrectomy was (130.14 ± 27.45) min,mean loss of blood was (125.09 ± 80.34) ml.The mean time for renal transplantation was (134.46 ± 29.05) min,means loss of blood was (124.47 ± 159.41)ml,one patient received 4 U red blood cell because of hemorrhoea.Conclusion It is still a relatively risk surgical procedure for relative kidney transplantation,sufficient collaboratory and communication between transplantation physicians and anesthesiologists,sophisticated preparation of anesthesia are essential for achieving a nice outcome.