Abstract:

Objective To investigate the protection of renal function for cardiac death donor. Methods The clinical data of 268 patients with controllable cardiac death organ donation（DCD）from the Armed Police General Hospital between September 2013 and June 2016 were analyzed retrospectively and the individual treatment was summarized and analyzed. Results In 268 donors，46 patients with oliguria and 134 patients with low plasma albumin. These patients have been positive treated with rehydration and albumin for expanding blood volume and correction of hypoproteinemia and maintain central venous pressure（CVP）at 8-12 mmHg（1 mmHg ＝ 0.133 kPa）. The urine output increased before surgery compared with the previous by treatment in 15 patients，total effective rate was 32.6%. In 85 patients who were using the vasopressor，the dosage of norepinephrine was decreased，and the serum creatinine levels was decreased in 11 of the 15 patients with highcreatinine at admission，the effective rate was 73%. Conclusion In the case of monitoring CVP，the positive fluid infusion volume is beneficial to the protection of renal function.