肾移植手术的麻醉处理.ppt

第三十二章 常见器官移植手术的麻醉Common organ transplantation anesthesia;本章主要内容;Outline;肝肾移植;肾移植;肝移植;肝脏和肾脏;器官移植;Anaesthesia management of kidney transplant;Disturbance of water-electrolyte and acid-base balance;Disturbance of water-electrolyte;Hyperkaliemia and hypopotassemia;Hyponatremia and Sodium retention;Acidosis;Patho-physiological characteristic;Patho-physiological characteristic;Patho-physiological characteristic;Patho-physiological characteristic;Patho-physiological characteristic;Preanesthetic preparation;Preanesthetic preparation;Anaesthesia management principles;Intravenous anesthetic;Inhalation anesthetic;Muscle relaxant;local anesthetic;Pain-killer;Anaesthesia methodological choice;Anaesthesia methodological choice;Anaesthesia methodological choice;Anaesthesia methodological choice;（三）麻醉实施;（三）麻醉实施;Main points;Main points;Main points;Main points;Main points;Main points;Monitor;Monitor;Post-operator monitor and therapy;Post-operator therapy （二）术后治疗;Post-operator therapy ;Transplantation of liver第二节 肝移植术的麻醉处理;Patho-physiological characteristic一、肝移植病人的病理生理特点;Patho-physiological characteristic （一）神经系统;Patho-physiological characteristic （二）心血管系统;Patho-physiological characteristic （三）呼吸系统;Patho-physiological characteristic （四）凝血功能;Renal function;Metabolism;慢性肝病;（七）其他;Preanesthetic preparation;Preanesthetic preparation;Preanesthetic preparation;Preanesthetic preparation;Anesthesia management principles;Anesthesia management principles;Anesthesia management main points;Anesthesia management main points;Anesthesia management main points;Anesthesia management main points;新肝期开始标志--移植肝脏的门静脉开放。 门静脉开放后，可出现酸血症、高血钾、凝血功能障碍、心律失常、低血压等。 严密观察心电图的变化，如有高钾血症立即静注10%葡萄糖酸钙，同时静滴碳酸氢钠。;Anesthesia management main points;Reperfusion syndrome;Heat preservation;Special drug;Operation monitor;Post-operation monitor and management;Post-operation monitor and management;Immunosuppressive therapy;本章思考题;谢谢观看！