The effects of donor sodium levels on recipient liver graft function.

S G Van da Walker
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Abstract

A great deal of discussion has been generated regarding the effects of donor hypernatremia on recipient liver graft function. Much of this discussion is anecdotal and focuses on the detrimental effects of hypernatremia in the organ donor. The treatment of donor hypernatremia often leads to changes in donor management protocols. A retrospective study was conducted to determine if donor hypernatremia measurably alters the liver graft function of recipients. Results indicated that donor sodium values were unrelated to any recipient parameter assessed. Although further studies are pending, these findings suggest that a moderate rather than a severe approach to the management of donor hypernatremia may be preferred.

供体钠水平对受体肝移植功能的影响。
关于供体高钠血症对受体肝移植功能的影响,已经产生了大量的讨论。这方面的讨论大多是道听途说,主要集中在高钠血症对器官供体的有害影响上。供体高钠血症的治疗常常导致供体管理方案的改变。一项回顾性研究是为了确定供体高钠血症是否可测量地改变受者的肝移植功能。结果表明,供体钠值与任何受体参数评估无关。虽然还有待进一步的研究,但这些发现表明,对供体高钠血症采取温和而不是严厉的治疗方法可能是首选。
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