146例脑死亡器官捐献心脏移植手术期管理

The perioperative management for heart transplantation from donation after brain death

总结146例脑死亡器官捐献心脏移植术在供心获取、心脏移植手术期管理经验。供心获取前做好人员和物品准备,组织协调,切取术中快速精准的配合,供心及时有效保存转运,可缩短供心缺血时间,保证供心质量。心脏移植术中严密的病情观察,可预见的风险防范,保证手术顺利完成,减少了术后并发症。

We summarize the experience in the donor heart procurement and perioperative management of146 heart transplantations using hearts from brain death donors.Well preparation and coordination with the related staff before donor heart procurement,accurate assistance in the surgery,effective preservation and rapid transportation of the donor hearts would shorten the ischemic time of donor hearts,thus improving the quality of donor hearts.During the heart transplantation,close monitoring of the patient＇s condition and prevention from foreseeable risks will help improve the result of operation and reduce postoperative complications.