[Venovenous bypass in 54 liver transplantations].
Zhonghua Wai Ke Za Zhi
; 41(1): 10-2, 2003 Jan.
Article
en Zh
| MEDLINE
| ID: mdl-12760748
ABSTRACT
OBJECTIVES:
To summarize hemodynamic and metabolic changes during bypass, and to evaluate the bypass in liver transplantation.METHODS:
Fifty-four patients underwent orthotopic liver transplantation with venovenous bypass from May 2000 to May 2002. Their clinical features were analysed.RESULTS:
SHR, MAP, CVP, CO, PaO(2), PaCO(2), serum K(+), Na(+), Ca(2+), BUN values were not significantly changed during bypass. Compared to the pre-bypass stage, pH was decreased in the post-bypass stage (P < 0.05), serum lactic acid value was increased in the bypass and post-bypass stage (P < 0.05), active clotting time was increased in the bypass stage (P < 0.05), serum creatinine value was increased on first postoperative day (P < 0.05).CONCLUSIONS:
Venovenous bypass could improve hemodynamic and metabolic stability in the anhepatic phase, but it also could increase operation duration, liver ischemic time and cost.
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Banco de datos:
MEDLINE
Asunto principal:
Trasplante de Hígado
Tipo de estudio:
Etiology_studies
Límite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Zh
Revista:
Zhonghua Wai Ke Za Zhi
Año:
2003
Tipo del documento:
Article
País de afiliación:
China