中国实用儿科杂志 ›› 2022, Vol. 37 ›› Issue (7): 504-508.DOI: 10.19538/j.ek2022070607

• “一切为了人民健康———我们这十年”专栏·专题笔谈 • 上一篇    下一篇

儿童肝移植围手术期管理

  

  1. 复旦大学附属儿科医院儿童肝病中心,上海  201102
  • 出版日期:2022-07-06 发布日期:2022-08-25
  • 通讯作者: xxb116@163.com
  • 基金资助:
    复旦大学附属儿科医院重点发展项目(EK2022ZX05)

Perioperative management of liver transplantation in children

  1. The Center for Pediatric Liver Diseases,Children’s Hospital of Fudan University,Shanghai  201102,China
  • Online:2022-07-06 Published:2022-08-25

摘要: 在世界范围内,肝移植已经成为终末期肝病或暴发性肝衰竭儿童的标准治疗措施。随着医学的进步,儿童肝移植技术迅速发展,移植的适应证和禁忌证不断发生变化。肝移植患儿及手术时机的选择,供、受体术前评估、受体术前用药及营养管理、术后并发症的防治等围手术期管理需要多学科参与。精细的围手术期管理是决定患儿预后的重要环节,肝移植儿童围手术期必须得到全面的照料。

关键词: 肝移植, 儿童, 评估, 管理, 围手术期

Abstract: Liver transplantation(LT)has become the standard treatment for children with end-stage liver disease or fulminant liver disease in many parts of the world.With the development of medical science,pediatric liver transplantation is developing rapidly,and the indications and contraindications of transplantation are changing constantly.The perioperative management of liver transplantation,such as selection of children and operation timing,preoperative evaluation of donors and recipients,preoperative medication and nutritional management of recipients and prevention and treatment of postoperative complications,needs multidisciplinary participation.Detailed perioperative management is an important part to determine the prognosis of children.Children undergoing liver transplantation must receive comprehensive care during the perioperative period.

Key words: liver transplantation, child, evaluation, management, perioperative period