|本期目录/Table of Contents|

[1]赵建生,佟波涛,段加方,等.肝移植术中心跳骤停4例临床初探[J].医学研究与战创伤救治(原医学研究生学报),2009,11(04):326-328.
　ZHAO Jian-sheng,TONG Bo-tao,DUAN Jia-fang,et al.Clinical analysis of cardiac arrest in 4 cases during liver transplantation[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2009,11(04):326-328.
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肝移植术中心跳骤停4例临床初探()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第11卷
期数:
2009年04期
页码:
326-328
栏目:
出版日期:
2009-07-20

文章信息/Info

Title:
Clinical analysis of cardiac arrest in 4 cases during liver transplantation
文章编号:
1672-271X(2009)04-0326-03
作者:
赵建生; 佟波涛; 段加方; 周斌
解放军第81医院麻醉科，江苏南京210002
Author(s):
ZHAO Jian-sheng; TONG Bo-tao; DUAN Jia-fang;  ZHOU Bin
The 81th Hospital of PLA，Nanjing 210002，Jiangsu，China
关键词:
肝移植; 心跳骤停
Keywords:
liver transplantation ;  cardiac arrest
分类号:
R657.3；R541.7+8
DOI:
-
文献标志码:
A
摘要:
目的探讨肝移植术中发生心跳骤停的原因及防治措施。方法 回顾分析我院5年来肝移植术中发生心跳骤停患者的术前一般情况、心跳骤停前后的血流动力学、血气分析及电解质等变化。结果136例肝移植术中有4例发生了心跳骤停，发生率为2.9%，均发生在新肝期，都出现再灌注综合征，并伴有低钙、高钾和酸中毒。3例复苏成功、1例死亡。结论再灌注综合征、高钾血症、低钙血症和代谢性酸中毒是导致肝移植术中发生心跳骤停的主要原因。
Abstract:
ObjectiveTo analyze the causes of cardiac arrest during liver transplantation, and investigate the preventive measures. Methods Clinical records of 4 patients with cardiac arrest in liver transplantation were studied retrospectively. Results Occurrence of cardiac arrest was 2.9% (4/136). All of events happened at 1-3 min after graft reperfusion. All of them had postreperfusion syndrome，hyperkalemia, hypocalcemia and metabolic acidosis. Three cases recovered successfully, one case died. Conclusion The causes of cardiac arrest during liver transplantation were possibly induced by postreperfusion syndrome, hyperkalemia, hypocalcemia and metabolic acidosis.

参考文献/References:

[1]Nanashima A, Pillay P, Crawford M, et al. Analysis of postre-vascularization syndrome after orthotopic liver transplantation: the experience of an Australian liver transplantation center [J].Hepatobiliary Pancreat Surg，2001,8(5): 557-563.
[2]Chui AK ,Shi L, Tanaka K, et al. Postreperfusion syndrome in orthotopic liver transplantation[J]. Transplant Proc,2000,32(6):2116-2117.
[3]Marquez J, Martin D, Kang YG et al. Cardiovascular depression secondary to ionic hypocalcemia during hepatic transplantation in humans[J]. Anesthesiology, 1986,65(5):457-461.
[4]Nakasuji M, Bookallil MJ. Pathophysiological mechanisms of postre-vascularization hyperkalemia in orthotopic liver transplantation[J]. Anesth Analg, 2000,91(6):1351-1355.
[5]Carmichael FJ, Lindop MJ, Farman JV. Anesthesia for hepatic transplantation: cardiovascular and metabolic alterations and their management[J]. Anesth Analg,1985,64(2):108-116.
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备注/Memo

备注/Memo:
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更新日期/Last Update: 2013-11-20