Park Jeong Mi, Lee Kook Hyun, Jung Chul Woo
Department of Anesthesiology, Seoul National University College of Medicine, Seoul, Korea.
Korean J Anesthesiol. 2009 Sep;57(3):381-386. doi: 10.4097/kjae.2009.57.3.381.
Synchronous liver and kidney transplantation (SLK) is considered a treatment of choice for an end-stage liver disease patient with irreversible kidney disease. Several perioperative renal supportive treatments, especially continuous renal replacement therapy (CRRT), have contributed to the effective control of hypervolemia and electrolytes and acid-base disturbances leading to high success rate in adults. However, anesthesia for SLK in children is frequently difficult since the CRRT is seldom available because of difficulty in securing large venous lines. In addition, conventional techniques such as venovenous bypass and side-clamping of the inferior vena cava are less applicable in small children causing difficult volume control. Herein, we report a case of SLK in a child with glycogen storage disease type I with a review of literature.
同步肝肾移植（SLK）被认为是患有不可逆肾病的终末期肝病患者的一种治疗选择。几种围手术期肾脏支持治疗，尤其是连续性肾脏替代治疗（CRRT），有助于有效控制高血容量以及电解质和酸碱紊乱，从而使成人的成功率较高。然而，儿童SLK的麻醉常常很困难，因为由于难以获得大静脉通路，很少能进行CRRT。此外，诸如静脉-静脉转流和下腔静脉侧钳夹等传统技术在幼儿中不太适用，导致容量控制困难。在此，我们报告一例患有I型糖原贮积病的儿童进行SLK的病例并对文献进行综述。
