90例肾移植术的麻醉管理探讨  

Management of anesthesia in kidney transplantation （ a report of 90 cases）

作　　者：刘道宁[1] 吕宁[1] 王刚[1] 杜洪印[1] 

机构地区：[1]天津市第一中心医院麻醉科,300192

出　　处：《中国医药》2008年第2期71-72,共2页China Medicine

基　　金：天津市卫生局专项资金资助项目（05RY07）

摘　　要：目的探讨肾移植术中围手术期麻醉管理经验。方法90例肾移植术患者，分别选用连续硬膜外麻醉、蛛网膜下腔加硬膜外麻醉和静吸复合麻醉，术中监测心电图、心率、脉搏氧饱和度、有创动脉血压、中心静脉压、血气、血糖、电解质和尿量等临床指标，评价3种麻醉方式的临床效果。结果选择连续硬膜外麻醉和蛛网膜下腔加硬膜外麻醉患者的血压和心率在开放肾血管前多有不同程度下降，选择静吸复合麻醉患者的血压变化不明显。结论麻醉管理应以维护循环功能、纠正代谢性酸中毒为主。Objective To observe the hemodynamic changes and anesthesia management during kidney transplantation operation. Methods Ninty cases had continuous epidural space anesthesia （CEA）, combined subarachnoid epidural analgesia （CSEA） and intravenous plus inhalational anesthesia （GA） during kidney transplantation operation. Meanwhile,ECG heart rate （HR） , IAP, pulse oxygen saturation, central venous pressure （CVP） , blood gas analysis, blood glucose, elcetrolytes and urine were recorded during surgery. Results Among patients who had having CEA and CSEA, IAP and HR showed decreases before unclamping kidney artery, and patients with GA showed no significant changes. Condnsion Anesthesia management during kidney transplantation operation should maintaining circulation stability and correcting metabolic acidosis.

关 键 词：肾移植 麻醉 

分 类 号：R617[医药卫生—外科学]