心脏移植的术后治疗

The postoperative treatment of heart transplantation

目的探讨同种异体原位心脏移植的术后治疗和并发症的处理。方法总结9例心脏移植的术后监护治疗。结果9例患者术后心功能和生活质量恢复良好,均康复出院。其中1例术后早期和2例远期出现急性排异反应,1例术后早期出现急性肾功能衰竭。1例远期死亡。结论心脏移植术后免疫的有效监测、免疫抑制剂的合理使用、并发症的积极防治和密切随访是提高存活率的关键因素。

Objective To discuss the treatment after orthotopic heart transplantation and the experiences in dealing with its complications. Methods To summarize the postoperative monitoring and management of 9 cases of patients after heart transplantation. Results All 9 cases got out of hospital after recovery with better postoperative cardiac function and life quality. Among d them acute rejection appeared in 1 case earlier and 2 cases later after operation. 1 case died later and 1 case had acute renal failure earlier after operation. Conclusion The effective monitoring for immunity and the scientific use of immunosuppressive agents after orthotopic heart transplantation,the active prevention and treatment of complications and its consanguineous follow-up are key factors for improving the survival rate.