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| 静脉转流下背驮式原位肝移植术的麻醉处理(附1例报告) | |
| 引用本文： | 刘敬臣,唐小松,倪玉霞,何睿林,周文富,胡振快,谭冠先. 静脉转流下背驮式原位肝移植术的麻醉处理(附1例报告)[J]. 广西医科大学学报, 1997, 0(2) |
| 作者姓名： | 刘敬臣 唐小松 倪玉霞 何睿林 周文富 胡振快 谭冠先 |
| 作者单位： | 广西医科大学第一附属医院麻醉科 |
| 摘 要： | 报告１例患原发性胆汁性肝硬化病人行背驮式肝移植术的麻醉处理。麻醉方法采用静吸复合全麻加连续硬膜外阻滞。在无肝期采用人工心肺机在全身肝素化下进行门静脉－腋静脉转流。结果：无肝期出血少，血流动力学稳定；肝脏恢复血流时出现再灌注综合征，经处理，５ｍｉｎ后血流动力学恢复稳定；手术结束时凝血功能基本恢复正常。术后２４ｈ病人恢复良好。 |
| 关 键 词： | 原位肝移植术；麻醉；血流动力学；静脉－静脉转流 |
ANESTHESIA MANAGEMENT FOR PIGGYBACK ORTHOTOPIC LIVER TRANSPLANTATION (1 CASE REPORT) |
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| Liu Jingchen,Tang Xiaoshong,Ni Yuxia,et al. ANESTHESIA MANAGEMENT FOR PIGGYBACK ORTHOTOPIC LIVER TRANSPLANTATION (1 CASE REPORT)[J]. Journal of Guangxi Medical University, 1997, 0(2) | |
| Authors: | Liu Jingchen Tang Xiaoshong Ni Yuxia et al |
| Abstract: | This is a report on the anesthesia management of a patient with primary biliary cirrhorsis undergoing piggyback orthotopic liver transplantation A combination of intravenous and inhalation anesthesia coupled with continuous epidural anesthesia was employed During the anhepatic phase a porto axillary venovenous bypass with systemic heparinization was establisthed by a conventional cardiac bypass apparatus Result:Bleeding was minimum and the hemodynamics was stable during the anhepatic phase;Reperfusion syndrome occured after the renewal of hepatic blood circulation.The hemodynamics became stable within five minutes after treatment;Coagulation became normal when the operation was completed The patient had a good recovery during the first 24 h after the operation |
| Keywords: | orthotopic liver transplantation anesthesia hemodynamics venovenous bypass |
| 本文献已被 CNKI 等数据库收录！ | |