切换至 "中华医学电子期刊资源库"

中华移植杂志(电子版) ›› 2021, Vol. 15 ›› Issue (05) : 295 -297. doi: 10.3877/cma.j.issn.1674-3903.2021.05.008

病例报告

肝移植术后血管麻痹综合征一例
彭昇1, 卢中山1, 柳安雄1, 梁文进1, 钟自彪1, 叶少军1, 叶啟发2,()   
  1. 1. 430071 武汉大学中南医院 武汉大学肝胆疾病研究院 武汉大学移植医学中心 国家人体捐献器官获取质量控制中心 移植医学技术湖北省重点实验室 湖北省天然高分子生物肝临床医学研究中心 湖北省天然高分子基医用材料构建工程技术研究中心
    2. 430071 武汉大学中南医院 武汉大学肝胆疾病研究院 武汉大学移植医学中心 国家人体捐献器官获取质量控制中心 移植医学技术湖北省重点实验室 湖北省天然高分子生物肝临床医学研究中心 湖北省天然高分子基医用材料构建工程技术研究中心;410013 长沙,中南大学湘雅三医院 卫生部移植医学工程技术研究中心
  • 收稿日期:2021-03-09 出版日期:2021-10-25
  • 通信作者: 叶啟发
  • 基金资助:
    国家自然科学基金(81970548); 医学腾飞计划——"转化医学、医学+平台建设项目"(临床医学)(TFLC2018003); 武汉市科技计划项目(2019020701011485)

Vasoplegic syndromes after liver transplantation: a case report

Sheng Peng1, Zhongshan Lu1, Anxiong Liu1, Wenjin Liang1, Zibiao Zhong1, Shaojun Ye1, Qifa Ye2,()   

  1. 1. Zhongnan Hospital of Wuhan University, Institute of Hepatobiliary Diseases of Wuhan University, Transplant Center of Wuhan University, National Quality Control Center for Donated Organ Procurement, Hubei Key Laboratory of Medical Technology on Transplantation, Hubei Clinical Research Center for Natural Polymer Biological Liver, Hubei Engineering Center of Natural Polymer-based Medical Materials, Wuhan 430071, China
    2. Zhongnan Hospital of Wuhan University, Institute of Hepatobiliary Diseases of Wuhan University, Transplant Center of Wuhan University, National Quality Control Center for Donated Organ Procurement, Hubei Key Laboratory of Medical Technology on Transplantation, Hubei Clinical Research Center for Natural Polymer Biological Liver, Hubei Engineering Center of Natural Polymer-based Medical Materials, Wuhan 430071, China; The 3rd Xiangya Hospital of Central South University, Research Center of National Health Ministry on Transplantation Medicine Engineering and Technology, Changsha 410013, China
  • Received:2021-03-09 Published:2021-10-25
  • Corresponding author: Qifa Ye
引用本文:

彭昇, 卢中山, 柳安雄, 梁文进, 钟自彪, 叶少军, 叶啟发. 肝移植术后血管麻痹综合征一例[J/OL]. 中华移植杂志(电子版), 2021, 15(05): 295-297.

Sheng Peng, Zhongshan Lu, Anxiong Liu, Wenjin Liang, Zibiao Zhong, Shaojun Ye, Qifa Ye. Vasoplegic syndromes after liver transplantation: a case report[J/OL]. Chinese Journal of Transplantation(Electronic Edition), 2021, 15(05): 295-297.

表1 血管麻痹综合征治疗药物[14,18]
1
Hosseinian L, Weiner M, Levin MA, et al. Methylene blue: Magic bullet for vasoplegia?[J]. Anesth Analg, 2016122(1):194-201.
2
Shaefi S, Mittel A, Klick J, et al. Vasoplegia after cardiovascular procedures-pathophysiology and targeted therapy[J]. J Cardiothorac Vasc Anesth, 2018, 32(2): 1013-1022.
3
Tsiouris A, Wilson L, Haddadin AS, et al. Risk assessment and outcomes of vasoplegia after cardiac surgery[J]. Gen Thorac Cardiovasc Surg, 201765(10): 557-565.
4
Khosravi MB, Milani S, Ghaffaripour S, et al. Very high dose epinephrine for the treatment of vasoplegic syndrome during liver transplantation[J]. Int J Organ Transplant Med, 2013, 4(1): 32-34.
5
An SS, Henson CP, Freundlich RE, et al. Case report of high-dose hydroxocobalamin in the treatment of vasoplegic syndrome during liver transplantation[J]. Am J Transplant, 201818(6): 1552-1555.
6
Fischer GW, Bengtsson Y, Scarola S, et al. Methylene blue for vasopressor-resistant vasoplegia syndrome during liver transplantation[J]. J Cardiothorac Vasc Anesth, 2010, 24(3): 463-466.
7
Mourad MM, Liossis C, Gunson BK, et al. Etiology and management of hepatic artery thrombosis after adult liver transplantation[J]. Liver Transpl, 2014, 20(6): 713-723.
8
Willuweit K, Bezinover D, Herzer K, et al. Efficacy of IgM-enriched immunoglobulin for vasopressor-resistant vasoplegic shock after liver transplantation[J]. Transplantation, 2019, 103(2): 381-386.
9
Lominchar PL, Orue-Echebarria MI, Martin L, et al. Hepatic flow is an intraoperative predictor of early allograft dysfunction in whole-graft deceased donor liver transplantation: An observational cohort study[J]. World J Hepatol, 2019, 11(9): 689-700.
10
Fischer GW, Levin MA. Vasoplegia during cardiac surgery: current concepts and management[J]. Semin Thorac Cardiovasc Surg, 2010, 22(2): 140-144.
11
Liu H, Yu L, Yang L, et al. Vasoplegic syndrome: An update on perioperative considerations[J]. J Clin Anesth, 2017, 40: 63-71.
12
Orozco VD, Triana SC, Orozco VA. Vasoplegic syndrome in cardiac surgery: Definitions, pathophysiology, diagnostic approach and management[J]. Rev Esp Anestesiol Reanim, 2019, 66(5): 277-287.
13
Shapeton AD, Mahmood F, Ortoleva JP. Hydroxocobalamin for the treatment of vasoplegia: A review of current literature and considerations for use[J]. J Cardiothorac Vasc Anesth, 2019, 33(4): 894-901.
14
Levy B, Fritz C, Tahon E, et al. Vasoplegia treatments: The past, the present, and the future[J]. Crit Care, 2018, 22(1): 52.
15
Bezinover D, McQuillan P, Rossignol J, et al. Vasoplegic shock during liver transplantation: is the preoperative cGMP plasma level a potential predictor of hemodynamic instability?[J]. Med Sci Monit, 201016(9): S114-S117.
16
Wagener G, Kovalevskaya G, Minhaz M, et al. Vasopressin deficiency and vasodilatory state in end-stage liver disease[J]. J Cardiothorac Vasc Anesth, 2011, 25(4): 665-670.
17
Hajjar LA, Vincent JL, Barbosa Gomes Galas FR, et al. Vasopressin versus norepinephrine in patients with vasoplegic shock after cardiac surgery: The VANCS randomized controlled trial[J]. Anesthesiology, 2017126(1): 85-93.
18
Busse LW, Barker N, Petersen C. Vasoplegic syndrome following cardiothoracic surgery-review of pathophysiology and update of treatment options[J]. Crit Care, 2020, 24(1): 36.
19
石屹崴,于洪丽,张桂诚,等. 亲体肾移植术肾动脉开放后血管麻痹综合征1例[J]. 江苏医药2021, 47(8): 860-862.
20
Bussard RL, Busse LW. Angiotensin II: a new therapeutic option for vasodilatory shock[J]. Ther Clin Risk Manag, 2018, 14: 1287-1298.
21
Russell JA, Vincent JL, Kjolbye AL, et al. Selepressin, a novel selective vasopressin V1A agonist, is an effective substitute for norepinephrine in a phase IIa randomized, placebo-controlled trial in septic shock patients[J]. Crit Care, 2017, 21(1): 213.
22
Prakash V, Choudhury AK, Sarin SK. Early introduction of a combination of low dose terlipressin and noradrenaline as vasopressors is superior to high dose noradrenaline alone in patients of cirrhosis with septic shock[J]. Hepatology, 2017, 66: 138A.
23
Rodriguez R, Cucci M, Kane S, et al. Novel vasopressors in the treatment of vasodilatory shock: A systematic review of angiotensin II, selepressin, and terlipressin[J]. J Intensive Care Med, 2020, 35(4): 327-337.
24
Woolum JA, Abner EL, Kelly A, et al. Effect of thiamine administration on lactate clearance and mortality in patients with septic shock[J]. Crit Care Med, 2018, 46: 1747-1752.
25
Marik PE, Khangoora V, Rivera R, et al. Hydrocortisone, vitamin C, and thiamine for the treatment of severe sepsis and septic shock: A retrospective before-after study[J]. Chest, 2017, 151(6): 1229-1238.
[1] 陈进宏. 腹腔镜活体供肝获取规范与创新[J/OL]. 中华普通外科学文献(电子版), 2024, 18(05): 324-324.
[2] 中华医学会器官移植学分会, 中国医师协会器官移植医师分会. 中国活体肝移植供者微创手术技术指南(2024版)[J/OL]. 中华普通外科学文献(电子版), 2024, 18(04): 241-252.
[3] 仲福顺, 余露, 范晓礼, 叶啟发. 肝移植治疗肝上皮样血管内皮瘤一例[J/OL]. 中华移植杂志(电子版), 2024, 18(05): 293-297.
[4] 刘冉佳, 崔向丽, 周效竹, 曲伟, 朱志军. 儿童肝移植受者健康相关生存质量评价的荟萃分析[J/OL]. 中华移植杂志(电子版), 2024, 18(05): 302-309.
[5] 贺健, 张骊, 王洪海, 蒋文涛. 肝移植术后脾功能亢进转归及治疗研究进展[J/OL]. 中华移植杂志(电子版), 2024, 18(05): 310-314.
[6] 胡宁宁, 赵延荣, 王栋, 王胜亮, 郭源. FMNL3与肝细胞癌肝移植受者预后的相关性研究[J/OL]. 中华移植杂志(电子版), 2024, 18(05): 283-288.
[7] 王淑贤, 张良灏, 王利君, 张慧, 郭源, 许传屾, 李志强, 蔡金贞, 解曼, 饶伟. 成人肝移植围手术期严重心血管事件危险因素分析及预测模型研究[J/OL]. 中华移植杂志(电子版), 2024, 18(04): 222-229.
[8] 张丽娜, 邢建坤, 张梁, 李云生, 王兢, 孙丽莹, 朱志军. 婴幼儿活体肝移植受者术中麻醉护理单中心经验[J/OL]. 中华移植杂志(电子版), 2024, 18(04): 235-238.
[9] 黄建朋, 邹建强, 宗华. 肝移植术后腹壁疝诊治初步经验[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(04): 471-473.
[10] 傅斌生, 冯啸, 杨卿, 曾凯宁, 姚嘉, 唐晖, 刘剑戎, 魏绪霞, 易慧敏, 易述红, 陈规划, 杨扬. 脂肪变性供肝在成人劈离式肝移植中的应用[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 789-794.
[11] 魏志鸿, 刘建勇, 吴小雅, 杨芳, 吕立志, 江艺, 蔡秋程. 肝移植术后急性移植物抗宿主病的诊治(附四例报告)[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 846-851.
[12] 中华医学会器官移植学分会. 肝移植术后缺血性胆道病变诊断与治疗中国实践指南[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 739-748.
[13] 中华医学会器官移植学分会, 中华医学会外科学分会外科手术学学组, 中华医学会外科学分会移植学组, 华南劈离式肝移植联盟. 劈离式供肝儿童肝移植中国临床操作指南[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(05): 593-601.
[14] 刘军, 丘文静, 孙方昊, 李松盈, 易述红, 傅斌生, 杨扬, 罗慧. 在体与离体劈离式肝移植在儿童肝移植中的应用比较[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(05): 688-693.
[15] 张红君, 郑博文, 廖梅, 任杰. 超声及超声造影在肝移植术后上腹部淋巴结良恶性鉴别诊断中的应用[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(04): 562-567.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?