肝肾联合移植的麻醉管理。

Middle East Journal of Anesthesiology Pub Date : 2016-06-01

Amr El Kouny, Mohammed Harbi, Hesham Ismail, Chadi Abouras, Abdulatif Basha, Ibrahim Abojeesh, Annas Naeim, Sami Kashkoush, Abdullah Khalid, Wael Ohali, Vassilios Dimitriou

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引用次数: 0

摘要

肝肾联合移植对麻醉师来说是一项要求很高且具有挑战性的手术，因为手术过程漫长而复杂，患者病情危急，需要平衡血管内容量以维持同种异体肝脏的静脉流出和同种异体肾脏的利尿。在肝肾联合移植中，血管内容量管理和凝血控制似乎是最重要的问题。文献中关于CLKT的麻醉和液体管理的数据很少。我们介绍并讨论了在过去两年中在我院接受肝肾联合移植的三例患者的麻醉管理。

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ANESTHETIC MANAGEMENT DURING COMBINED LIVER AND KIDNEY TRANSPLANTATION.

Combined liver and kidney transplantation is a highly demanding and challenging procedure for anesthesiologists due to the lengthy and complicated nature of the procedure, the critical patient condition and the need to balance the intravascular volume to maintain the venous outflow of the hepatic allograft and also the diuresis of the renal allograft. Intravascular volume management and coagulation control, seem to be the most important issues during combined liver and kidney transplantation. There is sparsity of data in the literature concerning the anesthetic and fluid management in CLKT. We present and discuss the anesthetic management in a case series in three patients, who underwent combined liver and kidney transplantation in our institution during the last two years.

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来源期刊

Middle East Journal of Anesthesiology Medicine-Anesthesiology and Pain Medicine

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： The journal is published three times a year (February, June, and October) and has an Editorial Executive Committee from the department and consultant editors from various Arab countries. A volume consists of six issues. Presently, it is in its 42nd year of publication and is currently in its 19th volume. It has a worldwide circulation and effective March 2008, the MEJA has become an electronic journal. The main objective of the journal is to act as a forum for publication, education, and exchange of opinions, and to promote research and publications of the Middle Eastern heritage of medicine and anesthesia.