【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。更多还原

【Abstract】 Objective:To explore the peri-operative change of hemodynamics,electrolytes and biochemistry in patients undergoing allogenic renal transplantation.Methods:MAP,CVP,HR,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, pH,HCO3 - and BE decreased significantly at T 3,k + and GLU increased significantly at T 3,which has significantly different.CVP,GLU,pH,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.更多还原