多胞体移植的麻醉方面:一个案例系列研究
M B Khosravi1, V Naderi-Boldaji1, F Khalili1
1Anesthesiology and Critical Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
International journal of organ transplantation medicine
|August 29, 2023
概括
多部内脏移植 (MvTx) 涉及移植多个腹部器官. 精心规划,麻醉和感染预防对于短肠综合征患者的MvTx成功结果至关重要.
科学领域:
- 手术创新 在外科创新.
- 移植医学 移植医学
- 麻醉学 麻醉学
背景情况:
- 多部内脏移植 (MvTx) 涉及移植超过三个腹内器官.
- 成功的MvTx需要外科医生,麻醉科医生和重症治疗师之间强有力的多学科合作.
研究的目的:
- 在短肠综合征患者中呈现5例MvTx.
- 描述MvTx程序的临界麻醉考虑因素.
主要方法:
- 阿布·阿里·西纳医院五名MvTx患者的回顾病例系列 (2019年5月 - 2020年1月).
- 分析患者人口统计,肠道衰竭的原因,手术细节和结果.
- 专注于麻醉管理和术后并发症.
主要成果:
- 五名患者 (4名女性/1名男性,平均年龄43岁) 接受了MvTx治疗短肠综合征.
- 肠道衰竭的常见原因包括门静脉血栓和肠道.
- 平均手术持续时间为360±60分钟,有显著的血液损失 (2600±1474厘米) 和输血需求 (4±1PRBC单位).
- 败血症是死亡的主要原因.
结论:
- 对于MvTx,精心的手术前规划是必不可少的.
- 警的手术内麻醉管理对于患者的安全至关重要.
- 术后感染预防对于改善MvTx结果至关重要.
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