儿童肝脏移植期间低温的危险因素 使用新型加热方法
Taiga Ishihara1, Chiaki Baba1, Kaoru Ishizaki1
1Department of nursing, National Center for Child Health and Development, Tokyo, Japan.
Pediatric transplantation
|December 10, 2024
概括
在儿科肝移植患者的手术内低温与更高的器官排斥率有关. 在手术期间保持正常的体温对于这些年轻患者的更好的结果至关重要.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 移植医学 移植医学
背景情况:
- 术内低温是一般麻醉患者的常见并发症,特别是在肝移植 (LT) 期间.
- 低温症可能导致儿科患者的严重,危及生命的疾病.
研究的目的:
- 确定导致儿科肝移植接受者的手术内低温的因素.
- 为了调查手术期间低温和患者结果之间的关联.
主要方法:
- 对接受手术期间加热的儿科LT患者的回顾性分析.
- 根据手术前,手术内和手术后的数据,对低温 (<35°C) 和正常热 (≥35°C) 组进行比较.
- 多变量分析以确定手术内低温的预测因素及其对结果的影响.
主要成果:
- 低温组在年龄,体重,PELD得分,移植与受体重量比,输血,输血量和ICU停留时间方面表现出显著差异.
- 在手术后的低温和移植后30天内排斥之间发现了强烈的关联.
- 多变量分析显示,排斥与手术内低温症 (OR = 32.553,p = 0.011) 有显著关联.
结论:
- 术内低温是儿童肝移植患者30天排斥的重要危险因素.
- 在儿科LT期间,密切监测和控制核心体温至关重要,以尽量减少排斥风险.
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