肾移植患者接受非移植相关手术20例围手术期处理分析

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。

Analysis of the perioperative management of 20 kidney transplant recipients in non-transplant surgery

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.