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心脏移植受者的全身麻醉与急诊手术

General Anaesthesia and Emergency Surgery in Heart Transplant Recipient.

作者信息

Ejtehadi Farshid, Carter Sharon, Evans Lucy, Zia Mubashar, Bradpiece Howard

机构信息

Department of General Surgery, The Princess Alexandra Hospital, Essex CM20 1QX, UK.

Anesthetic Department, The Princess Alexandra Hospital, Essex CM20 1QX, UK.

出版信息

Case Rep Surg. 2015;2015:256465. doi: 10.1155/2015/256465. Epub 2015 Dec 16.

DOI:10.1155/2015/256465
PMID:26788397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4695654/
Abstract

The number of patients who undergo heart transplant is increasing. Due to surgical emergencies, many of those may require general anesthesia in hospitals where subspecialized anesthetists may not be available. We present a case of a male patient who had heart transplant and required general anesthesia for emergency appendicectomy. Physiology of the heart after transplant, preoperative considerations, and postoperative monitoring has been discussed in our report.

摘要

接受心脏移植的患者数量正在增加。由于手术急症,其中许多患者可能需要在没有专科麻醉医生的医院接受全身麻醉。我们报告一例接受心脏移植的男性患者,因急诊阑尾切除术需要全身麻醉。我们的报告讨论了心脏移植后的生理情况、术前注意事项及术后监测。

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1
General Anaesthesia and Emergency Surgery in Heart Transplant Recipient.心脏移植受者的全身麻醉与急诊手术
Case Rep Surg. 2015;2015:256465. doi: 10.1155/2015/256465. Epub 2015 Dec 16.
2
Anesthetic considerations for an adult heart transplant recipient undergoing noncardiac surgery: a case report.一位接受非心脏手术的成年心脏移植受者的麻醉考量:病例报告
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Surgery in patients with heart transplants. Anaesthetic and operative considerations.心脏移植患者的手术。麻醉和手术注意事项。
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Saudi J Anaesth. 2023 Jan-Mar;17(1):104-106. doi: 10.4103/sja.sja_474_22. Epub 2023 Jan 2.
2
Post-cardiac transplant recipient: Implications for anaesthesia.心脏移植术后受者:对麻醉的影响。
Indian J Anaesth. 2017 Sep;61(9):768-774. doi: 10.4103/ija.IJA_390_17.

本文引用的文献

1
Parasympathetic reinnervation accompanied by improved post-exercise heart rate recovery and quality of life in heart transplant recipients.心脏移植受者出现副交感神经再支配,同时运动后心率恢复及生活质量得到改善。
Int Heart J. 2015;56(2):180-5. doi: 10.1536/ihj.14-292. Epub 2015 Feb 27.
2
Anesthetic considerations for an adult heart transplant recipient undergoing noncardiac surgery: a case report.一位接受非心脏手术的成年心脏移植受者的麻醉考量:病例报告
AANA J. 2014 Aug;82(4):293-9.
3
General anaesthesia in a recent heart transplant recipient for endovascular aortic aneurysm repair.近期心脏移植受者接受血管内主动脉瘤修复术时的全身麻醉。
Anaesth Intensive Care. 2013 Mar;41(2):270-1.
4
Anaesthesia for non-cardiac surgery in a cardiac transplant recipient.心脏移植受者非心脏手术的麻醉
Indian J Anaesth. 2011 Jul;55(4):405-7. doi: 10.4103/0019-5049.84849.
5
Adult cardiac transplantation: a review of perioperative management (part-II).
Ann Card Anaesth. 2009 Jul-Dec;12(2):155-65. doi: 10.4103/0971-9784.53441.
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Anaesthesia for noncardiac surgery in the heart transplant recipient.
Curr Opin Anaesthesiol. 2009 Feb;22(1):109-13. doi: 10.1097/ACO.0b013e32831c83e0.
7
Tacrolimus with mycophenolate mofetil (MMF) or sirolimus vs. cyclosporine with MMF in cardiac transplant patients: 1-year report.心脏移植患者中他克莫司与霉酚酸酯(MMF)或西罗莫司联用对比环孢素与MMF联用:1年报告
Am J Transplant. 2006 Jun;6(6):1377-86. doi: 10.1111/j.1600-6143.2006.01290.x.
8
Anesthetic and perioperative management of adult transplant recipients in nontransplant surgery.非移植手术中成年移植受者的麻醉及围手术期管理
Anesth Analg. 1999 Sep;89(3):613-22. doi: 10.1097/00000539-199909000-00013.
9
Electrophysiological evidence of reinnervation of the transplanted human heart.移植人心脏再支配的电生理证据。
Cardiology. 1998;89(1):73-5. doi: 10.1159/000006746.