Analysis Of The Perioperative Management In Heart Transplantation

[Objective] TO review the experience of the perioperative management in heart transplantation.[ Methods] 38 records were studied retrospectively for analysis of the experience. [ Results ] 6 cases died of complications in perioperation, 4 of 6 cases died of the acute right heart failure, one case died of the multiple organ dysfunction., one case died of the septicemia. The mortality was 15.8%, the survival was 84.2%. In perioperation one case suffered from acute rejection, 5 cases had post-transplant diabetes mellitus ( PTDM ). 4 of 38 cases suffered from acute renal failure in prioperation, 2 of 4 cases received the continuous renal replacement therapy (CRRT), one of 4 cases had the cardionephric transplantation, the other received the hemodialysis and died of the multiple organ dysfunction.[Conclusion] The low mortality can be realized by selecting the suitable recipients, using the optimal immunosuppressive protocols and the management of the complications.