查詢結果分析
來源資料
相關文獻
- Anesthetic Management of a Patient with Alagille's Syndrome Undergoing Living Donor Liver Transplantation without Blood Transfusion
- Anesthetic Management of a Parturient with Eisenmenger's Syndrome and Preeclampsia during Cesarean Section--A Case Report
- Combination of Bupivacaine Scalp Circuit Infiltration with General Anesthesia to Control the Hemodynamic Response in Craniotomy Patients
- Alternation of One-lung and Two-lung Ventilations with the Same Single-lumen Endobronchial Tube during Thoracoscopic Surgery--A Case Report
- The Anesthetic Management of A Preterm Infant Weighing 500 Grams Undergoing Ligation of Patent Ductus Arteriosus--A Case Report
- Children with Mucopolysaccharidoses--Three Cases Report
- Postoperative Right Atrial and Pulmonary Embolism after Prolonged Spinal Surgery
- Airway Obstruction in General Anesthesia--Two Different Episodes in the Same Patient: Case Report
- 全身麻醉下的牙科治療
- Anesthetic Management of the Patients with Giant Mediastinal Tumors--A Report of Two Cases
頁籤選單縮合
題名 | Anesthetic Management of a Patient with Alagille's Syndrome Undergoing Living Donor Liver Transplantation without Blood Transfusion=Alagille's Syndrome成功接受不輸血之活體肝臟移植麻醉 |
---|---|
作者 | 鄭國偉; 黃佳絨; 王致嫻; 陳肇隆; 姚文聲; Cheng, Kwok-wai; Huang, Jia-jung; Wang, Chih-hsien; Chen, Chao-long; Jawan, Bruno; |
期刊 | 長庚醫學 |
出版日期 | 20040600 |
卷期 | 27:6 2004.06[民93.06] |
頁次 | 頁449-453 |
分類號 | 416.246 |
語文 | eng |
關鍵詞 | 活體肝臟移植; 全身麻醉; Alagille's syndrome; Living donor liver transplantation; General anesthesia; |
中文摘要 | 在臺灣,Alagilles’s Syndorme (AGS)不僅是一非常少見的疾病症候群,尤其在肝臟移植病患中更是少見。AGS主要的定義性特徵包括五大項:慢性膽汁淤積、典型的奇特面貌、後側角膜混濁、蝶翼狀脊椎缺損及心血管系統異常。病患為3歲11個月大,患有AGS之病童,並於本院成功接受不輸血之活動肝臟移值。術前診斷病童有貧血現象,血紅素為9.1 g/dl,並有主動脈與肺動脈狹窄。本次麻醉處置成功的主要因素為包括:術前一系例完整性的心血管性。手術期間失血量與腹水流失,主要以5%蛋白與晶體溶液補充,以維持中心靜脈壓約10cmH2O。在病患血紅素高於6~7 g/dl情況下,我們以有效益性的輸液來替代輸血,使病患血管內容量能維持血液動力學的穩定。我們發現,病患不僅能承受貧血現象,對於新肝植入後的術後復原,更不受影響。 |
英文摘要 | Algaille’s syndrome (AGS), which has five main characteristics including chronic cholestasis; typical peculiar facies; posterior embryotoxon; butterfly-like vertebral-arch defects; and cardiovascular malformations, is rarely seem in Taiwan, especially in a live transplantation setting. We present the successful anesthetic management of a 3-year-11-month-old boy with a preoperative hemoglobin of 9.1 g/dl and had mild aortic stenosis and ild pulmonary artery stenosis. He underwent living donor liver transplantation without blood transfusion. The key points of successful anesthetic management included complete pre-operative evaluation of the cardiovascular system, and intra-operative maintenance of normaothermia, normal ionized calcium, normal pH and stable hemodynamics, surgical blood loss, ascites and intraoperative transudate loss were primarily replaced with 5% albumin and crystalloids to maintain the central venous pressure around 10 cm H2O. No blood transfusion was given for a hemoglobin level higher than 6-7 g/dl, but the intravascular volume was sufficient volume was sufficient to maintain stable hemodynamics. Our patient tolerated the anemia well, it did not seem to affect the recovery of the new liver allograft postoperatively. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。