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2020, Number 2

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Invest Medicoquir 2020; 12 (2)

Kidney function alterations in orthotopic liver trasplantation

López GK, López CO

Language: Spanish
References: 12
Page:
PDF size: 135.92 Kb.


ABSTRACT

Introduction. Despite of the good results reached, the orthotopic liver transplantation is still being a very complex procceding, in wich appears some complications that put the life of the patient at risk. Among these complications, the renal function failure has been considered as one of the most frequent. Objectives: Evaluate the incidence of the intraoperatory alteration of the renal function in those patients with terminal chronical hepatic insuffiency who received a orthotopic liver transplantation (OLT). Methods: It was done a prospective, longitudinal and descriptive study to 50 patients who have received a liver transplantation at Medical Surgical Research Center from January 2013 to February 2016. Results: In the total of the patients were presented a lowering of diuresis, that were more intense in every other stage. The oliguria owed for decreases of blood pressure for different factors (abundant bleeding, compression of large tumblers or lower systemic vascular endurance) between another. Conclusions: the renal function alterations could have many causes but the lowering of precharge is the main cause that provoked the decreasing of the diuresis and the metabolic imbalance that gave origin to the reported failure.


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