中国体外循环杂志Issue(4)：219-221,244,4.DOI:10.13498/j.cnki.chin.j.ecc.2014.04.07
133例心脏移植供心保护回顾分析
Management of donor heart protection in orthotopic heart transplantation (a re-port of 133 cases)
赵阳 1董念国 1刘金平 1李平1
作者信息
- 1. 430022 武汉，华中科技大学同济医学院附属协和医院心外科
- 折叠
摘要
Abstract
[ Abstract]:Objective To summarize the management experiences of donor heart protection in 133 orthotopic heart transplanta⁃tion patients. Methods From Sep. 2008 to May 2014, 133 patients with end-stage heart disease underwent orthotopic heart transplan⁃tation in Wuhan Union hospital. Among them, 103 cases received non-arrest donor heart ( groupⅠ) and 30 cases received arrest do⁃nor heart ( groupⅡ) . In Group I, 4℃ ST. Thomas solution was infused through aortic roots after aorta was cross clamped to make donor hearts arrested quickly first, then the donor hearts were soaked and preserved and transported in 8℃ HTK solution;In groupⅡ, 8℃HTK solution was infused through aortic roots after aorta was cross clamped, and the donor hearts were preserved in HTK solution. Re⁃sults In group I, 92 patients recovered heart beating automatically after clamp removed, and 11 patients recovered heart beating by e⁃lectric defibrillation. The donor heart warm ischemic period was (3.25±2.25) min and cold ischemic period was (253.22±136.73) min. Postoperative utilization rate of IABP was 9.5%, EF values of three weeks after heart transplantation was (65.52 ± 6.72)%, one year survival rate was 92.55%. In group II, 23 cases recovered heart beating automatically after clamp removed and 7 patients recovered heart beating by electric defibrillation. The donor heart warm ischemic period was ( 5. 78 ± 2. 82) min and cold ischemic period was (179.12±52.43) min. Postoperative utilization rate of IABP was 10.1%, EF values of three weeks after heart transplantation was (65.78±7.22), one year survival rate was 91.07%. Conclusion Using different donor heart procurement and efficient heart preserva⁃tion during perioperative period are considerably important for a successful heart transplantion, it expand the use of edging donor hearts and improve the success rate of heart transplantation.关键词
心脏移植/供心保护/器官保存液Key words
Heart transplantation/Donor heart protection/Organ preservation solution引用本文复制引用
赵阳,董念国,刘金平,李平..133例心脏移植供心保护回顾分析[J].中国体外循环杂志,2014,(4):219-221,244,4.
