Renal Replacement Therapy During Liver Transplant Surgery

Arjun Sekar, A. Reddy, Pulkit Gandhi, Vijay Raj
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Abstract

Liver transplant is the treatment available for eligible patients with end-stage liver cirrhosis. Acute kidney injury and electrolyte abnormalities are associated with liver disease and can be exacerbated by surgery. Intraoperative renal replacement therapy has been tried in some large centres. The authors discuss the physiological changes and complications during liver transplant surgery, and review literature on the safety, feasibility, benefits, and drawbacks of intraoperative renal replacement therapy during liver transplant surgery.
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肝移植手术期间的肾脏替代疗法
肝移植是为符合条件的终末期肝硬化患者提供的治疗方法。急性肾损伤和电解质异常与肝病有关,并可能因手术而加重。一些大型中心已经尝试了术中肾脏替代疗法。作者讨论了肝移植手术期间的生理变化和并发症,并回顾了有关肝移植手术期间术中肾脏替代疗法的安全性、可行性、益处和缺点的文献。
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