Kim Tae W, Bailard Neil, Coveler Lewis A
Department of Anesthesiology, Baylor College of Medicine, Houston, TX 77030, USA.
J Clin Anesth. 2006 Jun;18(4):297-9. doi: 10.1016/j.jclinane.2005.10.005.
The anesthetic management of renal transplant recipients requires the maintenance of an adequate perfusion pressure to ensure viability of the donated kidney. A common finding among patients with end-stage renal disease is chronic hypertension. We report a case involving a 2-year-old child with an age-adjusted blood pressure below normal, undergoing transplantation of an adult cadaveric kidney, during which high-dose vasopressor medications were used to sustain the child's blood pressure at above-normal levels to help ensure perfusion of the adult allograft.
肾移植受者的麻醉管理需要维持足够的灌注压力，以确保捐赠肾脏的存活。终末期肾病患者的一个常见情况是慢性高血压。我们报告了一例涉及一名2岁儿童的病例，该儿童经年龄校正后的血压低于正常水平，正在接受成人尸体肾移植，在此过程中使用了高剂量血管升压药物将儿童血压维持在高于正常水平，以帮助确保成人同种异体移植物的灌注。
