| Japanese |
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| Title | 死体腎移殖中の補液負荷に併なう循環動態の変化 |
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| Subtitle | 原著 |
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| Authors | 池田一美, 吉松成博, 伊藤聖衛, 近江明文, 池田寿昭, 一色淳 |
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| Organization | 東京医科大学八王子医療センター麻酔科 |
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| Journal | 循環制御 |
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| Volume | 13 |
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| Number | 4 |
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| Page | 625-629 |
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| Year/Month | 1992/ |
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| Article | 原著 |
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| Publisher | 日本循環制御医学会 |
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| Abstract | 「要旨」我々は20例の死体腎移殖患者で, m-PAP＞15mmHg, m-PCWP＞10mmHgを目標に補液負荷を行った. またSAP＞150mmHgになる様にドーパミンの投与も行ない, 術中, 術後の循環動態について検討した. Cardiac Indexは術中, 術後と増加し, PAP, PCWPは術中は増加するも術後はほぼ対照値にもどった. SVR, PVRに有意の変化は認められなかった. A-aDO2, QS/QTにも有意の変化は無く, 肺水腫等の合併症をひきおこした症例は無かった. 18例は術直後より利尿が得られ, 術中尿量は130.0±15.7ml, 術後24時間の尿量は1230±40mlと良好な結果を得た. また患者は, 平均8±0.8日で術後透析より離脱する事ができた. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | cadavevic renal transplantation overload infusion |
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| English |
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| Title | Hemodynamic changes Secondary to Overload Infusion During Cadaveric Renal Transplantation |
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| Subtitle | |
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| Authors | Kazumi Ikeda, Narihiro Yoshimatsu, Shouei Ito, Akibumi Oumi, Toshiaki Ikeda, Atsushi Issiki |
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| Authors(kana) | |
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| Organization | Department of Anesthesiology,Hachiouji Medical Center of Tokyo Medical College |
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| Journal | Circulation Control |
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| Volume | 13 |
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| Number | 4 |
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| Page | 625-629 |
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| Year/Month | 1992/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | The intraoperative hemodynamic status of renal transplant recipients is an important factor for achieving early diuresis. Many reports have demonstrated that overload infusion can reduce the cincidence of acute tabular necrosis (ATN). We studied the effect of overload fluid infusion under monitering of pulmonary arterial pressure (PAP) and pulmonary capillary wedge pressure (PCWP) in twenty patients underwent cadaveric renal transplantation. A PAP>15mmHg and PCWP>10mmHg were achieved with the infusions of crystalloid and colloid(=Plasma expander and human albumine). Systolic arterial pressure (SAP) was maintaineel over 150mmHg by intravenous administration of dopamine. The hamodynamic changes, dose of dopamine, perioperative fluid volume and urine output were measured. Intraoperative hemodynamics were maintained well and early postoperative diuresis was also achieved in our patients. None of our patients developed either pulmonary edema or heart failure. We concluded that the overload infusion can maintain well intraoperative hemodynamics and can achieve the postoperative diuresis immediately after cadaveric renal transplantation. |
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| Practice | Basic medicine |
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| Keywords | cadavevic renal transplantation overload infusion |
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