摘要
目的 :探讨同种异体肾移植患者围术期血流动力学的变化以及电解质、血生化的改变。方法 :分析 92例肾移植患者麻醉前 (T1)、肾动脉血流开放前 (T2 )、血流开放后 15分钟 (T3 )、手术结束时 (T4)各时点平均动脉压 (MAP)、中心静脉压(CVP)、心率 (HR)、电解质、血生化参数的变化。结果 :T3 和T1比较MAP、CVP、pH、HCO3-、BE有显著降低 (P <0 .0 1) ,K+和GLU明显增加 (P <0 .0 1)。T3 和T2 比较CVP、GLU、PH、HCO3-、BE明显降低而HR明显增高 (P <0 .0 5 )。结论 :肾移植围术期血流动力学、电解质和血生化变化随手术步骤而不同 ,供肾恢复血供后变化最大。
Objective:To explore the peri-operative change of hemodynamics,electrolytes and biochemistry in patients undergoing allogenic renal transplantation.Methods:MAP,CVP,HR,electrolytes and biochemistry were monitored and analysed in 92 patients undergoing renal transplantation pre-anesthesia(T 1),before opening of renal artery (T 2),15 minutes after opening renal artery(T 3)and the end of surgery(T 4).Results:Comtrast T 1, MAP, CVP, pH,HCO3 - and BE decreased significantly at T 3,k + and GLU increased significantly at T 3,which has significantly different.CVP,GLU,pH,HCO3 - and BE decreased significantly and HR increased significantly at T 2 compared with T3.Conclusion:peri-operative change of hemodynamics,elecyrolytes and biochemistry is different in the different surgery phase and the change is the greatest after the blood recovery of donor kidney.
出处
《重庆医科大学学报》
CAS
CSCD
2004年第3期360-361,378,共3页
Journal of Chongqing Medical University
关键词
肾移植
血流动力学
电解质
血生化
Renal transplantation
Hemodynamics
Electrolytes
Biochemistry
