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单卵双胞胎肝移植受者镇痛需求降低——一例病例报告

Decreased analgesic requirement in recipient of liver transplantation from monozygotic twin - A case report.

作者信息

Oh Ah Ran, Ko Justin Sangwook, Kim Gaab-Soo

机构信息

Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

Anesth Pain Med (Seoul). 2020 Jan 31;15(1):83-87. doi: 10.17085/apm.2020.15.1.83.

Abstract

BACKGROUND

There have been many reports about decreased analgesic requirements in liver transplant recipients compared with patients undergoing other abdominal surgery.

CASE

Herein we describe a case in which a 42-year-old man underwent living donor liver transplantation from his monozygotic twin. Because innate pain thresholds may be similar in monozygotic twins, we could effectively investigate postoperative pain in the donor and the recipient. Concordant with previous reports, the recipient used less analgesic than the donor in the present study.

CONCLUSIONS

Physicians caring for patients who have received liver transplantation should consider their comparatively low requirement for analgesic, to prevent delayed recovery due to excessive use of analgesic.

摘要

背景

与接受其他腹部手术的患者相比,关于肝移植受者镇痛需求降低的报道有很多。

病例

在此,我们描述一例42岁男性接受来自其同卵双胞胎的活体供肝移植的病例。由于同卵双胞胎的先天痛阈可能相似,我们能够有效研究供者和受者的术后疼痛。与先前的报道一致,在本研究中,受者使用的镇痛药比供者少。

结论

照料肝移植患者的医生应考虑到他们相对较低的镇痛需求,以防止因过度使用镇痛药而导致恢复延迟。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a6d/7713866/08d7851f0a65/APM-15-083-f1.jpg

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