Volume 41 Issue 11
Dec.  2020
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Yun-fei SHU, Yi-xin JIANG, Bing LI. Effect of Low-dose Alprostadil on Pulmonary Arterial Pressure and Hemodynamics in Patients undergoing Liver Transplantation[J]. Journal of Kunming Medical University, 2020, 41(11): 138-142. doi: 10.12259/j.issn.2095-610X.S20201110
Citation: Yun-fei SHU, Yi-xin JIANG, Bing LI. Effect of Low-dose Alprostadil on Pulmonary Arterial Pressure and Hemodynamics in Patients undergoing Liver Transplantation[J]. Journal of Kunming Medical University, 2020, 41(11): 138-142. doi: 10.12259/j.issn.2095-610X.S20201110

Effect of Low-dose Alprostadil on Pulmonary Arterial Pressure and Hemodynamics in Patients undergoing Liver Transplantation

doi: 10.12259/j.issn.2095-610X.S20201110
  • Received Date: 2020-09-21
    Available Online: 2020-12-03
  • Publish Date: 2020-11-25
  •   Objective  To explore the influence of low-dose alprostadil on patients' pulmonary artery pressure(PAP)and hemodynamics in orthotopic liver transplantation.  Methods  From March 2018 to September 2019, 22 patients undergoing orthotopic liver transplantation in The First People's Hospital of Kunming were selected and then they were randomly assigned into two groups. Experimental group(12 cases)was continuously pumped with alprostadil(1.5 ng/kg·min)through internal jugular vein; control group(10 cases)was continuously pumped with the same amount of saline through internal jugular vein. Finally the mean pulmonary artery pressure(MPAP)and hemodynamics of the two groups at different times of the surgery were compared.  Results  There was no significant difference between the two groups in basic information(age, gender, height, weight, ASA classification)(P > 0.05)and basic information in liver transplantation(infusion, concentrated red blood cell concentrate infusion, plasma infusion, blood loss, urine, operation time and anhepatic period time)(P > 0.05), also there was no statistically significant difference in MPAP and hemodynamics between the two groups at different times of the surgery(P > 0.05).  Conclusion  Continuous pumping of 1.5ng/kg·min alprostadil during orthotopic liver transplantation has little effect on PAP and hemodynamics.
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  • [1]
    李俊明,邵建林. 背驮式肝移植术门脉高压症患者血液动力学分析[J].昆明医学院学报,2011,32(09):77-79.
    [2]
    Laurent Savale,Caroline Sattler,Audrey Coilly,et al. Long‐term outcome in liver transplantation candidates with portopulmonary hypertension[J]. Hepatology,2017,65(5):1683-1692.
    [3]
    Michael J Krowka,Russell H Wiesner,Julie K Heimbach. Pulmonary contraindications,indications and MELD exceptions for liver transplantation:A contemporary view and look forward[J]. J Hepatol,2013,59(2):367-374.
    [4]
    王建国,张娟,史蓉. 前列地尔对感染性休克合并急性呼吸窘迫综合征患者的临床疗效观察[J].贵州医药,2020,44(08):1217-1218. doi: 10.3969/j.issn.1000-744X.2020.08.015
    [5]
    Haider D G,Bucek R A,Giurgea A G,et al. PGE1 analog alprostadil induces VEGF and eNOS expression in endothelial cells[J]. Am J Physiol Heart Circ Physiol,2005,289(5):H2066-2072.
    [6]
    Gensch C,Clever Y,Werner C,et al. Regulation of endothelial progenitor cells by prostaglandin E1 via inhibition of apoptosis[J]. J Mol Cell Caidiol,2007,42(3):670-677.
    [7]
    Herrler T,Leicht S F,Huber S,et al. Prostaglandin E positively modulates endothelial progenitor cell homeostasis:An advanced treatment modality for autologous cell therapy[J]. J Vasc Res,2009,46(4):333-346.
    [8]
    Bharathan V K,Chandran B,Gopalakrishnan U,et al. Perioperative prostaglandin e1 infusion in living donor liver transplantation:A double‐blind,placebo‐controlled randomized trial[J]. Liver Transpl,2016,22(8):1067-1074.
    [9]
    黄橘村,胡东辉. 前列地尔对终末期肝病患者肾保护作用分析[J].中国民康医学,2015,27(11):21-22. doi: 10.3969/j.issn.1672-0369.2015.11.009
    [10]
    刘超,李强,吴伟利,等. 静脉注射前列地尔对糖尿病肾病病人PCI术后肾功能的保护作用[J].中西医结合心脑血管病杂志,2017,15(18):2352-2354. doi: 10.3969/j.issn.1672-1349.2017.18.043
    [11]
    杨玺,杨孟昌,温开兰,等. 前列地尔对原位肝移植患者血流动力学的影响研究[J].重庆医学,2016,45(35):4942-4944. doi: 10.3969/j.issn.1671-8348.2016.35.014
    [12]
    Stanek B,Pacher R. Dose-effect relationships of prostaglandin E1 in severe endstage chronic heart failure[J]. Jpn Heart J,1997,38(1):53-65.
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