亲体肝脏移植供体手术的麻醉  

Anesthesia of Donor Operation in Living-related Liver Transplantation

作　　者：杜洪印[1] 

机构地区：[1]天津市第一中心医院麻醉科,天津300192

出　　处：《麻醉与监护论坛》2008年第1期53-55,共3页Forum of Anesthesia and Monitoring

摘　　要：器官来源受限使得亲体肝脏移植手术越来越多。为提高供体手术的麻醉质量，本文回顾性总结了目亲体肝脏移植开始以来的相关供体肝脏切取手术的麻醉文献。结果显示：供体手术必须进行全面评估；亲体肝脏移植供体手术是安全的；供体手术麻醉本身并无明显特殊性；中心静脉压监测具有特殊重要的意义；各种方法被应用于控制低中心静脉压明显减少术中出血和各种并发症；对自体血术前储备和术中自体血回收有不同结论和建议。The cases of Living-related liver transplantation were increasing because of the limitation of organ resource. In order to elevate the anesthetic and operative quality of living donor operation some historic literatures about donor anesthesia in living-related liver transplantation since origination were summarized retrospectively, The donor must be evaluated thoroughly preoperative. The anesthesia of living donor in living-related liver transplantation was safe and no specificities of donor anesthesia were found. Monitoring of perioperative CVP showed important significance and low CVP （CVP〈5mmHg） which were induced by some methods can reduce the loss of blood intraoperative and decrease the all kinds of perioperative complications. Some different conclusions were summarized and suggestions were suggested about preoperative autologous blood donation and intraoperative cell salvage.

关 键 词：供体手术 肝脏移植 麻醉质量 亲体 低中心静脉压 自体血回收 脏移植手术 器官来源 

分 类 号：R657.3[医药卫生—外科学] R614[医药卫生—临床医学]