Clinical research of hemodynamics,elecyrolytes and biochemistry in patitents undergoing allogenic renal transplantation

HE Kaihua; et al

doi:10.13406/j.cnki.cyxb.2004.03.034

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Clinical research of hemodynamics,elecyrolytes and biochemistry in patitents undergoing allogenic renal transplantation

更新时间：2024-01-17

- Clinical research of hemodynamics,elecyrolytes and biochemistry in patitents undergoing allogenic renal transplantation
- Journal of Chongqing Medical University Issue 3, Pages: 360-361(2004)
- 作者机构：
  
  1. 重庆医科大学临床学院麻醉科
  2. 重庆医科大学临床学院麻醉科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2004.03.034
  CLC： R699.2
- Published：2004，
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[1]何开华,闵苏.肾移植病人围术期血流动力学及生化血气变化的临床研究[J].重庆医科大学学报,2004(03):360-361+378.

HE Kaihua, et al. Clinical research of hemodynamics,elecyrolytes and biochemistry in patitents undergoing allogenic renal transplantation. [J]. Journal of Chongqing Medical University (3):360-361(2004)
[1]何开华,闵苏.肾移植病人围术期血流动力学及生化血气变化的临床研究[J].重庆医科大学学报,2004(03):360-361+378. DOI： 10.13406/j.cnki.cyxb.2004.03.034.

HE Kaihua, et al. Clinical research of hemodynamics,elecyrolytes and biochemistry in patitents undergoing allogenic renal transplantation. [J]. Journal of Chongqing Medical University (3):360-361(2004) DOI： 10.13406/j.cnki.cyxb.2004.03.034.

摘要

目的 :探讨同种异体肾移植患者围术期血流动力学的变化以及电解质、血生化的改变。方法 :分析 92例肾移植患者麻醉前（T1）、肾动脉血流开放前（T2 ）、血流开放后 15分钟（T3 ）、手术结束时（T4）各时点平均动脉压（MAP）、中心静脉压（CVP）、心率（HR）、电解质、血生化参数的变化。结果 :T3 和T1比较MAP、CVP、pH、HCO3-、BE有显著降低（P <0 .0 1）

K+和GLU明显增加（P <0 .0 1）。T3 和T2 比较CVP、GLU、PH、HCO3-、BE明显降低而HR明显增高（P <0 .0 5 ）。结论 :肾移植围术期血流动力学、电解质和血生化变化随手术步骤而不同

供肾恢复血供后变化最大。

Abstract

Objective:To explore the peri-operative change of hemodynamics

electrolytes and biochemistry in patients undergoing allogenic renal transplantation.Methods:MAP

CVP

electrolytes and biochemistry were monitored and analysed in 92 patients undergoing renal transplantation pre-anesthesia(T 1)

before opening of renal artery (T 2)

15 minutes after opening renal artery(T 3)and the end of surgery(T 4).Results:Comtrast T 1

MAP

CVP

HCO3 - and BE decreased significantly at T 3

k + and GLU increased significantly at T 3

which has significantly different.CVP

GLU

HCO3 - and BE decreased significantly and HR increased significantly at T 2 compared with T3.Conclusion:peri-operative change of hemodynamics

elecyrolytes and biochemistry is different in the different surgery phase and the change is the greatest after the blood recovery of donor kidney.

关键词

肾移植血流动力学电解质血生化

Keywords

renal transplantationhemodynamicsElectrolytesBiochemistry

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