协和心脏移植手册6505396

协和心脏移植手册出版社出版日期2003-07书号ISBN:分类单价页码30页版本开本作者陈道中等主编作者简介简介:本册内容包括了心脏移植术前常规、心脏移植术中常规、心脏移植术后常规、心脏移植术后护理及隔离室制度、心脏移植病人匀浆的制作、心脏移植常用药及副作用等。目录第一部分心脏移植术前常规第二部分心脏移植术中常规第三部分心脏移植术后常规第四部分心脏移植术后护理及隔离室制度第五部分心脏移植病人匀浆的制作第六部分心脏移植常用药及副作用附录电子书全文：XX医院图书馆昆明同显科技有限公司整理制作2003711234561231234541235612345()6——()781234561223456731PTBT+CT2T3T4T323OB4PPDASOESR5HIVCMVEpstein-Barr6ABOHLAABDRHLA1B23Swan-GanzCIPAPPVRPGE1NO4FSEF5X612247(50)1142()341(1)(2)(3)(4)()(5)ABO(6)8.0Kpa(60mmHg)(PVR)8Wood(7)HIV(8)(9)(10)2(1)65(2)(3)(4)(5)5(6)(7)(8)()124Bethecda110ml/kg/min23114ml/kg/min231EF2023415ml/kg/min1DBDMGIKcAMPACEI()234IABP56761ABO2PRA103PRA104HLAHLA-A-BDR1404522034HIV(5)5ABOPRA10(15)123412~31112344Stanford745678123/Swan-Ganz4CPBCPB21600800ml5ECGSpO2ETCO2Swan-GanzCOCISvO2PAPHct12Stanford3000~5000mlIV2000ml34Stanford1500~2000ml120mmHg20~30min500ml430~60g500mgMP60~80mmHgACT500s5CVPSpO2LAPPCWPHct6Stanford10~15ml/kg20~3097centrifugalpumpECMO()StanfordIV5%GS1000ml0.9%NS1000mlKCl27mmol/LKCl20mmol/LNaHCO320mmol/LNaHCO320mmol/L12.5mg/LMgSO48mmol/LpH7.9Osmoticpressur410mOsmUniversityofWisconsin’ssolutionUWSHespan50g/LLactobionicacid100mmol/LK3PO425mmol/LMgSO45mmol/LGossypose30mmol/LAdenosine5mmol/LApurin1mmol/LGlutathion3mmol/LDecasone16mg/LK+113mmol/LNa+30mmol/LGlucose0.06mmol/LpH7.4Osmoticpressur323mOsm11114220cm212426142122124Stanford3000ml13000ml1000ml2104362412500ml10.5%51200mg24Stanford242000ml34IVprolene1111221130g40ml/m324hStandardHTShumwayLower40prolene---4(TotalHTReitz)-----612(Bi-venacavaHTSarsam)----512.0~4.0iv2MP500mg~1000mgMP500~1000mgiv1Hct23q1h4ACT5PAPsPAPdPAPm6CVP7CCOCISvO2131Swan-GanzCIPAPCVPCCO2~3212FSEF123OBFK506CsA3FK50610~20ng/mlCsA250~350ng/ml4EMB11~21EMB7~10EMB56immunosuppressioninductionMPATGALGOKT3ZenapaxAlmosttoleranceimmunologictoleranceTLI141~2ACsA6~8mg/kg.dAza2mg/kg.dMMFCellcept2.0g/dinductionZenapaxDaclizumab25mg/5ml1mg/kg50mg+40mlNSiv15minCsA6~8mg/kg.dq12hFK506(tacrolimus)0.2mg/kg.dq12hAza2mg/kg.dq12hCellcept1.5~2.0g/dq12hMP250mg1CsA6~8mg/kg.dq12hFK5060.2mg/kg.dq12hAza2mg/kg.dq12hCellcept1.5~2.0g/dq12hMP250mgq8h2CsA6~8mg/kg.dq12hFK5060.2mg/kg.dq12hAza2mg/kg.dq12hCellcept1.5~2.0g/dq12hMP250mgq12h3CsA6~8mg/kg.dq12hFK5060.2mg/kg.dq12hAza2mg/kg.dq12hCellcept1.5~2.0g/dq12hMP250mgqdPred1mg/kg.dq12h154CsA6~8mg/kg.dq12hFK5060.2mg/kg.dq12hAza2mg/kg.dq12hCellcept1.5~2.0g/dq12hPred1mg/kg.dq12h6CsAFK506Pred510mg5mg110mg/d5mgq12h——1Zenapax0.5mg/KgZenapax14Zenapax21250mg2250mg3250mg4a750mg38b500mg212c250mgd1mg/Kg10mg10~15mg/5MMF1.5~2.0mg/2121Aza1mg/Kg21226FK5060.2mg/Kg21215~20ng/mlCsA6~8mg/Kg212250~300ng/ml200~250ng/ml150~200ng/ml16StanfordImmuno-suppressionpre-opintra-opfirst24hoursDays1-6Days7-14MaintenanceCsA——5-10mg/kg2100-150ng/ml150-250ng/ml30d50-150ng/mlAza4mg/kgiv—2mg/kgiv2kg/kg/dayivororally2kg/kg/day2kg/kg/dayWBC5000/mm3MP—500mgiv125mgivq8h×3—1.0ivqd31.0ivqd3Pred———1.0mg/kg/day210.2mg/kg/day2OKT3——5mgiv5mgivqd5mgivqdOKT32.0ivq12h5CMVB115120/48~721000~5000ml17PGE1ACEINO40mgivqd4FDPGIKVitEVitCCsA181DB+DM23PGE1NO4123CRRT411000mgivqd3d2DB+DMiv3100mg/d310mg4ATGALGATGALGRATG1.5mg/kgALG10mg/kg55OKT3ATGOKT35mg/d106CsACsA810mg/kg/d10147CTXTLI81mg/kg50mg+50mlNSiv91219122341B(6.25mgqid)(20mgqid)2B50mgivqd30d(2.03.6g)400mgivgttqd200mgivgttqd320118HT281224211:5040ml/m330g/km312h422222243231h45631121TSaO2ABPPAP134567218931011124125010350104505510105105636730512251050CC50182022105033226180805040E11050501020654-2510%3010FDP1010KCl3050210GS5GNS5GS0.9%NS20520%30%35050V50B4RATGHATGALG5CTXFK506CsANeoralCsAMMFcellcept4~6525%MgSO4VitK1303055510241205CVitBco7152341:1003752351678995107511121:501346141516214217181934W2412123125ml/6/750ml/E1404Kcal/gpro/gfat/gcarb/gk/mgNa/mgE/kcal7Am1018145092110424202010016132134278610109Am4043256215027635527250661849060605005306606708Pm5023672020554419716824529140425200ml/6/1200ml/E1794Kcal/gpro/gfat/gcarb/gk/mgNa/mgE/kcal7Am10181450661849050921184242020200212264268278610109Am404325621502763552721001212216818080806006367928048Pm50236730306966231211449771794250ml/6/1500ml/E=2490Kcal/gpro/gfat/gcarb/gk/mgNa/mgE/kcal7Am10181450661849020558224671010278610109Am40432562150276355272150181832522708020203289626880806001519276002554004245285368Pm50236727513030102114264320650972490261AcyclosporineACsA1972Tolypocladiuminflatumgams1980CsA11Neoralcyspin2~8mg/kg21.3~4.0mg/kg4RIAHPLCFPIACsAng/mlHPLCFPIAFPIA0~1190120~130252142~404976496~14822~6270181~382319209~4341492775~19557~1213190~200217134~295689414~99611685~156166115~220557427~735272tacrolimusFK506prograf1984FujisawaStreptomycetsukubaensisFKBP12calcineurinIL-1IL-2IL-3Tprografinjection5mgtacrolimus0.05~0.15mg/kg424~720.15~0.3mg/kg120.15mg/kg10~20ng/ml35~15ng/ml3mycophenolatemofetilCellceptMMFRS-61443PenicillinglaucumMPA2-IMPDH250mg500mg721g21.5g24OKT3OrthoCD3TTCR/CD3T282.5mg/d5mg/d250ml10~145ALG/ATGTALG4~20mg/kgALG0.5~1.0mg/kgALG7~20mg/kg4~6CD3+T6daclizurmabZenapaxCD25IL-2IL-2IL-2TTacT241mg/Kg50ml2157AzathioprineAzaImuran6-50mg100mg1~23~5mg/kg1~2mg/kgAzaazathioprineimuran298cyclophosphamideCyEndoxanP4504-G2TB1~2mg/kg·d9MPmethylprednisolonePredPrednisoneTT1~2150mg~200