Acid-base and biochemical alterations and their analysis in clinical orthotopic liver transplantation with veno-venous bypass
- VernacularTitle:体外静脉-静脉转流下原位肝移植围术期酸碱、生化的变化
- Author:
Ziqing HEI
;
Tianzhong DENG
;
Binxue CHEN
;
Jiefang TAN
;
Jianlin WU
;
Wenqi HUANG
- Publication Type:Journal Article
- Keywords:
Blood gas analysis;
Veno-venous bypass;
Liver transplantation
- From:
Chinese Journal of Anesthesiology
1996;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe acid-base and biochemical changes in clinical orthotopic liver transplantation with veno-venous bypass.Method,Seven patients receiving orthotopic liver transplantation, veno-venous bypass was undergone in anheptic phase.The acid-base and biochemical parameters were monitored during operation. Result:Compared to preoperation,pH decreased a little in each phase,BE and SBC slightly decreased 60 min following bypass and during skin closure. Compared to before bypass,pH had no changes during bypass and new liver phases. The serum Ca~(2+) level decreased and serum glucose level elevated in each phase,The temperature gradually decreased during operation. The serum K~+ level was transiently elevated from 3.17mmol/L to 3.53 mmol/L early after the heptic revascularizaton. Conclusion:With the application of the veno-venous bypass technique,the hazard of acid-base and biochemical changes can be reduced during orthotopic heptic transplantation.
