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[心脏移植患者非心脏手术的麻醉:一例临床病例及文献综述]

[Anaesthesia for noncardiac surgery in a heart-transplanted patient: a clinical case and review of the literature].

作者信息

Nassirou Oumarou Mahamane Mamane, Jaafari Abdelhamid, Chlouchi Abdellatif, Bensghir Mustapha, Haimeur Charki

机构信息

Pôle Anesthésie Réanimation, Hôpital Militaire Mohammed V, Université Mohammed V Souissi, Rabat, Maroc.

出版信息

Pan Afr Med J. 2016 Jul 28;24:284. doi: 10.11604/pamj.2016.24.284.9884. eCollection 2016.

Abstract

The number and the overall survival rate of heart transplant patients are increasing. Some of these patients undergo general surgery other than heart transplant on a regular basis. Anesthesia may be difficult in these patients because of the physiological characteristics of the denervated heart and of the management of immunosuppressive therapy on the basis of the risk of rejection and infection. Our study aims to discuss the anesthetic management of a 60-year-old heart-transplant patient undergoing abdominal hernia repair surgery and to write a literature review.

摘要

心脏移植患者的数量和总体生存率正在上升。其中一些患者定期接受心脏移植以外的普通外科手术。由于去神经心脏的生理特征以及基于排斥和感染风险的免疫抑制治疗管理,这些患者的麻醉可能会很困难。我们的研究旨在探讨一名60岁接受腹部疝修补手术的心脏移植患者的麻醉管理并撰写一篇文献综述。

相似文献

1
[Anaesthesia for noncardiac surgery in a heart-transplanted patient: a clinical case and review of the literature].
Pan Afr Med J. 2016 Jul 28;24:284. doi: 10.11604/pamj.2016.24.284.9884. eCollection 2016.
3
Laparoscopic intraperitoneal mesh repair of Spigelian hernia: A case report.
Asian J Endosc Surg. 2015 Nov;8(4):477-9. doi: 10.1111/ases.12205.
4
Perioperative Management of Cardiac Transplant Recipients Undergoing Noncardiac Surgery: Unique Challenges Created by Advancements in Care.
Semin Cardiothorac Vasc Anesth. 2017 Sep;21(3):235-244. doi: 10.1177/1089253217706164. Epub 2017 May 3.
5
Thoracic aorta aneurysm open repair in heart transplant recipient; the anesthesiologist's perspective.
Ann Card Anaesth. 2016 Jan-Mar;19(1):201-4. doi: 10.4103/0971-9784.173049.
6
Anaesthesia for patients after lung transplantation.
Can J Anaesth. 1997 Feb;44(2):182-97. doi: 10.1007/BF03013008.
8
Biomechanical abdominal wall model applied to hernia repair.
Br J Surg. 2015 Jan;102(2):e133-9. doi: 10.1002/bjs.9687.

本文引用的文献

1
Thoracic aorta aneurysm open repair in heart transplant recipient; the anesthesiologist's perspective.
Ann Card Anaesth. 2016 Jan-Mar;19(1):201-4. doi: 10.4103/0971-9784.173049.
3
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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Registry of the International Society for Heart and Lung Transplantation: twenty-third official adult heart transplantation report--2006.
J Heart Lung Transplant. 2006 Aug;25(8):869-79. doi: 10.1016/j.healun.2006.05.002. Epub 2006 Jul 10.
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[Anesthesia for non-specific surgery in a post-transplantation patient].
Ann Fr Anesth Reanim. 1993;12(1):27-37. doi: 10.1016/s0750-7658(05)80869-x.

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