[脏移植的特点脏移植期间的血液流动]
S S Dunaevskaya1,2, A A Kosik1,2, M F Kuchkarov1,2
1Krasnoyarsk State Medical University, Krasnoyarsk, Russia.
Urologiia (Moscow, Russia : 1999)
|July 4, 2023
概括
早期脏移植由于胀导致的血液流动障碍通过排出正常化,这表明了良好的移植预后. 超声波和多普勒成像是评估早期移植状态的有价值的非侵入性工具.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 移植手术 移植手术
- 医疗成像医学成像
背景情况:
- 移植是对末期功能衰竭的改善生命的治疗方法.
- 移植功能障碍仍然是一个挑战,影响长期移植存活率.
- 了解早期的移植后血动力学对于移植健康至关重要.
研究的目的:
- 为了研究移植后早期的移植血流的特征.
- 为了将早期的血液流动模式与移植功能和预后相关联.
主要方法:
- 对110名脏移植接受者的分析.
- 使用超声波多普勒检测,从手术后的第一天开始动态评估移植血流.
- 在五年内评估的移植存活率.
主要成果:
- 移植后的胀最初导致血液流动障碍.
- 在大多数情况下,血液流量在分泌时正常化,这表明移植的功能令人满意.
- 在多普勒超声波上,减少了移植血液流动和阻力指数 (RI) 的升高表明发生功能障碍.
结论:
- 早期的术后胀通常会导致移植患者的短暂血流障碍.
- 超声波多普勒成像是一种具有诊断价值的非侵入性方法,用于评估早期移植状况.
相关概念视频
01:26Kidney Transplant II: Surgical Procedure
36
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
36
01:16Kidney Transplant III: Nursing Management
41
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
41
01:28Kidney Transplant I: Introduction
29
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
29
01:29Physiology of the Genitourinary System I: Renal Blood Flow and Glomerular Filtration
39
The kidneys are vital organs responsible for regulating blood filtration, waste excretion, and fluid balance, all of which are crucial for maintaining homeostasis. Renal physiology examines renal blood flow, glomerular filtration, and urine formation, ensuring the body’s internal environment remains stable.Renal Blood FlowThe kidneys receive about 20-25% of the cardiac output, typically around 1200 mL of blood per minute in an average adult. Blood flows into the kidneys through the renal...
39
01:18Blood and Nerve Supply to the Kidney
1.3K
The kidneys are vital organs responsible for filtering and cleaning blood, removing waste products, and regulating electrolyte levels. To perform these essential functions, they require a constant and robust blood supply.
Bloody Supply to the Kidneys:
The kidneys receive their blood supply from the renal arteries, which branch off from the abdominal aorta—the main artery supplying the abdomen and lower body. The renal arteries enter the kidneys at the hilum, a notch on the medial side of...
Bloody Supply to the Kidneys:
The kidneys receive their blood supply from the renal arteries, which branch off from the abdominal aorta—the main artery supplying the abdomen and lower body. The renal arteries enter the kidneys at the hilum, a notch on the medial side of...
1.3K