硬膜外麻醉对肾移植受者血流动力学的影响  

Effects of epidural anesthesia on hemodynamics in renal transplantation

作　　者：许太武[1] 张步振[1] 丁玉兴[1] 李晓亮[1] 董发团[1] 王慧明[1] 张秀琼[1] 

机构地区：[1]成都军区昆明总医院麻醉科,昆明650032

出　　处：《中华器官移植杂志》1997年第1期14-15,共2页Chinese Journal of Organ Transplantation

摘　　要：为了研究硬膜外麻醉对肾移植受者血流动力学的影响和意义，根据血压高低将肾移植患者分为3组，采用全自动无创血压监测仪测定患者麻醉前、手水平面固定后的基础动脉收缩压（SBP）并进行比较。结果表明，SBP＜22．7kPa（1kPa＝7．5mmHg）者，血压变化不明显；SBP为22．7～25．3kPa者，5例中有3例血压下降，但下降幅度均＜4kPa；SBP＞25．3kPa者，所有病例均有明显的血压下降。由此认为，肾移植术中硬膜外麻醉对受者循环的影响与其术前的基础血压在接相关，尤以SBP＞25．3kPa时更为明显。In order to study the effects of epldural anesthesia on hemodynamics in renal transplantation, 18 patients with different blood pressure were dlvided into 3 groups. Systolic blood pressure (SBP) was measured by non-invasive automatic tonometer be fore and after anesthesia.No obvious change in SBP was found in patients with SBP<22. 7 kPa; a mild SBP decrease (<4kPa) was noted in patients with SBP ranging between 22. 7 ~ 25. 3 kPa and an obvious SBP decrease was found in all the patients with SBP>25. 3 kPa. Our results suggested that the hemodynamics in renal transplantation patients was closely related to the basic SBP, especially when SBP was greater than 25. 3 kPa.

关 键 词：肾移植 血流动力学 高血压 硬膜外麻醉 

分 类 号：R699.2[医药卫生—泌尿科学] R544.105[医药卫生—外科学]