Malacarne P, Casagli S, Cellai F, Di Sacco I
II UO Anestesia e Rianimazione, USL n. 12, Ospedale S. Chiara, Pisa.
Minerva Chir. 1995 Mar;50(3):269-74.
Brain death condition involves haemodynamic and hydroelectrolytic unbalances which can lead to organ malfunction and perfusion impairment making their harvest for transplant not possible. Fluid infusion, based on an adequate haemodynamic and hydroelectrolytic monitoring, can restore imbalances enabling organ harvest. Authors here report their own experience in treating 30 multiorgan donors during 12 hours before organs harvest; the fluidotherapy they performed and the need of basing either the quantity and the sort of the infused liquids on a close monitoring are discussed.
脑死亡状态涉及血流动力学和水电解质失衡，这可能导致器官功能障碍和灌注受损，从而无法获取器官用于移植。基于充分的血流动力学和水电解质监测进行液体输注，可以纠正失衡，使器官能够被获取。本文作者报告了他们在器官获取前12小时内治疗30例多器官捐献者的经验；讨论了他们所实施的液体疗法以及根据密切监测来确定输注液体的量和种类的必要性。
