一例原位心脏移植围手术期的监测与处理  

Experience of surveillance and management for one case of orthotopic cardiac allotranplantation

作　　者：张希龙[1] 景华[1] 丁永清[1] 高声甫[1] 周采璋[1] 李忠东[1] 

机构地区：[1]南京军区南京总医院心胸外科

出　　处：《中华器官移植杂志》1995年第3期127-129,共3页Chinese Journal of Organ Transplantation

摘　　要：对１例终末期肥厚性心肌病患者成功地施行了原位心脏移植术，供体为脑死亡者。受者术前３天进入消毒隔离的单人重症特殊监护室，并应用马抗人胸腺免疫球蛋白、甲基强的松龙、硫唑嘌呤及环孢素Ａ；术中严密监测移植心的心率及血压并采取相应的措施；术后监测血液动力学、排斥反应、环孢素Ａ的血药浓度，并积极防治感染。本例术中及术后经过顺利，无严重合并症。认为供受体配型理想、供心保护良好、手术操作得当、无肺动脉高压、心理状况良好、术后无明显的排斥反应、感染的有效防治以及失血少是本例成功的关键。We successfully performed one casc of orthotopic heart transplantation on a patient with end-stage hypertrophical cardiomyopathy in July, 1994. The recipient showed a satisfactory petoperative outcome and is now living well. In this paper we presented the perioperative surveillanca and management and reviewed the possible relationship between some available factors and the rather smooth postoperative recovery.

关 键 词：围手术期 监测 心脏移植 处理 

分 类 号：R654.2[医药卫生—外科学]