INTENSIVE-CARE MANAGEMENT OF KIDNEY-TRANSPLANTATION IN CHILDREN

被引:0
|
作者
COCHAT, P
LONG, D
FLORET, D
MARTIN, X
STAMM, D
FAURE, JL
CHABROL, B
MARECHAL, JM
PALAZZOLO, P
TOURAINE, JL
DAVID, L
DUBERNARD, JM
机构
来源
PEDIATRIE | 1991年 / 46卷 / 12期
关键词
KIDNEY TRANSPLANTATION; SURGICAL INTENSIVE CARE; VASCULAR THROMBOSIS; ACUTE TUBULAR NECROSIS;
D O I
暂无
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Over a 4 yr-period, 60 children (aged 10 months to 17 yr) received 66 kidney transplants with the same surgical intensive care program, the first 48 hr-period of which has been analysed in this study. Thirty percent of recipients were transplanted without previous dialysis and in 8%, body weight was below 10 kg at the time of surgery. The duration of anesthesia was 4.4 +/- 1.0 h and 32% received locoregional anesthesia. The mean duration for cold ischemia was 14.7 +/- 11.7 h and 26 +/- 7 min for warm ischemia; diuresis began during the operation in 79% of the patients. Routine vascular filling consisted of standard isotonic solute (11 +/- 4 ml/kg/h) associated with mannitol infusion; 59% of recipients required 20% human serum albumin and 42% blood transfusion. Post-operative diuresis was 7.4 +/- 6.0 ml/kg/h during the first 24 h, and sometimes resulted in hypovolemic episodes; 9% of the patients had primary non-functioning kidneys (4 transient acute tubular necrosis; 2 vascular thrombosis) and 4% required dialysis; the 1-yr survival rate was 82% for the grafts and 98% of the patients.
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页码:803 / 811
页数:9
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