器官移植2017，Vol.8Issue(1)：34-39,6.DOI:10.3969/j.issn.1674-7445.2017.01.007
肾移植受者围手术期危急值分析与处理
Analysis and management of critical value in renal transplantation recipients during perioperative period
摘要
Abstract
Objective To analyze and summarize the and charcteristics and processing methods of critical value in renal transplantation recipients during perioperative period. Methods Clinical data including gender, age, critical value, primary disease, clinical diagnosis and corresponding management at the presence of critical value in 273 cases with renal transplantation were collected and analyzed during perioperative period. Results and conclusions During perioperative period, the critical values of water, electrolyte and acid-base disorders were observed in 43.2%(118/273) of renal transplantation cases. The hyperpotassemia was found in 24.9%(68/273) of cases, which was the most common critical value. The percentage of male patients presenting with critical value was 76.9%, significantly higher compared with 23.1%in female counterparts, especial y in those aged 35 to 54 years. For patients with critical value of hyperpotassemia, calcium gluconate or calcium chloride was administered to stabilize myocardium cel membrane. Insulin, glucose and sodium bicarbonate were administered via intravenous drip to accelerate intracel ular transportation of K+and diuretics were used to promote the excretionofK+.Hemodialysistherapywasusedifthetreatmentisineffective.Theserumlevelofpotassiumrestoredtonormal range after treatment in al cases. For those presenting with critical values of other parameters, individualized treatment was adoptedbasedupondifferentconditions.Understandingofcommoncriticalvaluesduringperioperativeperiod,characteristics and causes of distribution of critical values in renal transplant recipients of different age and gender offers guidance for clinical monitoring and treatment.关键词
肾移植/围手术期/危急值/高钾血症Key words
Renal transplantation/Perioperative period/Critical value/Hyperpotassemia分类
医药卫生引用本文复制引用
隋雨荧,于立新,邓文锋,邱春燕,苗芸,刘如敏,叶桂荣..肾移植受者围手术期危急值分析与处理[J].器官移植,2017,8(1):34-39,6.基金项目
国家自然科学基金（81500573）；南方医科大学南方医院院长基金（2013B011）；南方医科大学南方医院院级教育课题 （）
