Changes of oxygen metabolic parameters and blood glucose concentrations during perioperative period of orthotopic liver transplantation
- VernacularTitle:原位肝移植围手术期机体组织氧代谢指标和血糖浓度的变化
- Author:
Baiqi HU
- Publication Type:Journal Article
- Keywords:
liver transplantation;
blood gas analysis;
blood glucose
- From:
Academic Journal of Second Military Medical University
2000;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the changes of oxygen metabolic parameters and blood glucose concentrations during perioperative period of orthotopic liver transplantation.Methods: The blood gas,cardiac index(CI),mixed venous oxygen saturation(SvO_(2)),oxygen delivery(DO_(2)),oxygen consumption(VO_(2)),oxygen extraction rate(O_(2)ER),and arterial blood glucose were measured at defined time points(before anesthesia induction,30 min before anhepatic period,5 min after anhepatic period,30 min after anhepatic period,5 min of neohepatic period,30 min of neohepatic period,and postoperation) in 50 patients receiving liver transplantation.Results: Compared with those before anesthesia induction,no significant changes in CI,SvO_(2),DO_(2),VO_(2),and O_(2)ER were found in pre-anhepatic period.CI,VO_(2),and DO_(2) decreased significantly at the early 5 min of the anhepatic period(P