经历 orthotopic 肝移植的病人可以在接枝的灌注以后开发 significanthaemodynamic 不稳定性,特别在一个肝的阶段期间并且立即。haemodynamic 不稳定性可以被心肌的消沉,或由尖锐的血损失由于免除肝的病原的物质直接引起。肌酸 kinase (CK ) 和 itsMB 部分(CK-MB ) 是敏感、特定的指示物反映心肌的损坏。Cardiactroponin (cTnI ) 我是心肌的坏死的一个特定、敏感的标记。这学习 assessedperioperative 使用三指示物(CK, CK-MB,和 CTnI ) 评估 perioperativemyocardial 的心脏的功能损坏。
Patients undergoing orthotopic liver transplantation may develop significant haemodynamic instability, especially during anhepatic phase and immediately after reperfusion of the graft. The haemodynamic instability may be caused directly by myocardial depression due to pathogenic substances released from the liver, or by acute blood loss.^1 Creatine kinase(CK) and its MB fraction (CK-MB) are sensitive and specific indicators to reflect myocardial damage.^2 Cardiac troponin I (cTnl) is a specific and sensitive marker of myocardial necrosis.^3 This study assessed perioperative cardiac function using three indicators (CK,CK-MB,and CTnl) to evaluate perioperative myocardial damage.