肝移植术中心跳骤停4例临床初探  

Clinical analysis of cardiac arrest in 4 cases during liver transplantation

作　　者：赵建生[1] 佟波涛[1] 段加方[1] 周斌[1] 

机构地区：[1]解放军第81医院麻醉科,江苏南京210002

出　　处：《东南国防医药》2009年第4期326-328,共3页Military Medical Journal of Southeast China

摘　　要：目的探讨肝移植术中发生心跳骤停的原因及防治措施。方法回顾分析我院5年来肝移植术中发生心跳骤停患者的术前一般情况、心跳骤停前后的血流动力学、血气分析及电解质等变化。结果136例肝移植术中有4例发生了心跳骤停,发生率为2.9%,均发生在新肝期,都出现再灌注综合征,并伴有低钙、高钾和酸中毒。3例复苏成功、1例死亡。结论再灌注综合征、高钾血症、低钙血症和代谢性酸中毒是导致肝移植术中发生心跳骤停的主要原因。Objective To analyze the causes of cardiac arrest during liver transplantation, and investigate the preventive measures. Methods Clinical records of 4 patients with cardiac arrest in liver transplantation were studied retrospectively. Results Occurrence of cardiac arrest was 2.9% （4/136）. All of events happened at 1 - 3 min after graft reperfusion. All of them had postreperfusion syndrome, hyperkalemia, hypocalcemia and metabolic acidosis. Three cases recovered successfully, one case died. Conclusion The causes of cardiac arrest during liver transplantation were possibly induced by postreperfusion syndrome, hyperkalemia, hypocaleemia and metabolic acidosis.

关 键 词：肝移植 心跳骤停 

分 类 号：R657.3[医药卫生—外科学] R541.78[医药卫生—临床医学]