肝移植受者围手术期管理及并发症预防与治疗

Perioperative management and complications prevention and treatment of recipients in liver transplantation

  • 摘要: 经过40多年发展,肝移植技术已逐步成熟,成为治疗终末期肝病的有效手段。供肝和受者的充分术前评估,受者的术中管理以及术后免疫排斥反应、感染等并发症监测与管理是肝移植围手术期重要内容。随着手术技术的不断发展和成熟、适应证范围的不断拓展,针对围手术期管理及并发症预防与治疗仍需不断探索与优化。笔者分析国内外最新文献,结合临床实践,深入探讨肝移植受者围手术期管理及并发症预防与治疗。

     

    Abstract: After more than 40 years of development, the techniques of liver transplanta-tion have gradually matured, which make liver transplantation become the effective means for the treatment of patients with end stage liver disease. Preoperative evaluation of donors and recipients, intraoperative management, monitoring and treatment of complications such as postoperative immune rejection and infection are all important contents of perioperative management of liver transplantation. With the development and mature of surgical techniques and the expansion of the scope of indications, perioperative management and complications prevention and treatment of liver transplantation need to be explored and optimized. The authors analyze the latest literature reports at home and abroad, investigate the perioperative management and complications prevention and treatment of recipients in liver transplantation combined with clinical practice.

     

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