不同输液方式对小儿亲属肾移植术中供受者生命体征的影响

The influence of different ways to signs of life of donors and recipients in children receiving consanguineous kidney transplantation

目的对10对小儿亲属肾移植供受者术中输液干预后进行回顾总结，了解供受者输液的最佳效果。方法10对小儿亲属肾移植供者在肾循环阻断前采用快速输液提高基础血压10％～15％，受者肾循环开放前补液全部采用胶体和血液，速度以维持受者术中的血压平稳。结果对供受者的术中输液进行干预后，受者开放肾循环后血压平稳及肾脏泌尿快。结论小儿亲属肾移植供肾循环阻断前快速输液方式提高血压，受者术中补液全部采用胶体和血液，有利于受者开放循环后血压平稳及泌尿，可降低受者围手术期的不良反应，减少并发症发生。

Objective To know the best results of the infusion on the donors and recipients, by reviewing and summarizing the intra-operative infusion intervention on 10 pairs of children consanguineous living donors and recipients on the kidney transplantation operation. Methods Increase 10% - 15% of the basis blood pressure of children consanguineous living donors by using rapid infusion on the 10 donors for kidney transplantation before the renal circulation is blocked; use blood and colloid as fluid infusion of children consanguineous living recipients for kidney transplantation before opening up the renal circulation, to maintain the recipients＇ blood pressure in the intra-operation. Results After the intra-operative infusion intervention on children consanguineous living donors and recipients, the recipients＇ blood pressure are stable and the kidney urinates were fast. Conclusions It could maintain stable blood pressure and smooth the urinary status of the children and reduce adverse events of recipients and complications by increasing the speed of infusion before blocking the renal circulation and using blood and colloid as fluid for the children consanguineous living recipients.