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目的探讨心脏移植受者进行妇科手术围手术期处理。方法回顾分析北京安贞医院2014年5月到2015年12月5例心脏移植受者接受妇科手术临床病例,对围手术期情况进行分析。结果 5例患者均顺利完成手术,围手术期未出现严重出血及感染,术后均恢复正常生活,术后1个月、半年、1年随访均未见异常,移植心脏功能良好。结论心脏移植受者术后均处于免疫抑制状态,围手术期需要积极处理,多科协作,制定相应的治疗方案,以取得满意的治疗效果。
Objective To investigate the perioperative management of heart transplant recipients for gynecological surgery. Methods A retrospective analysis of Beijing Anzhen Hospital from May 2014 to December 2015 in 5 cases of heart transplant recipients received gynecological surgery clinical cases, perioperative analysis of the situation. Results All 5 patients underwent successful operation. No serious hemorrhage and infection occurred during the perioperative period. All patients recovered to normal life after operation. No abnormalities were observed at 1 month, 6 months and 1 year after operation, and cardiac function was good. Conclusions Cardiac allograft recipients are in immunosuppressed state after operation. Perioperative period, they need to actively handle and cooperate with each other to make corresponding treatment plan to achieve satisfactory therapeutic effect.