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活体供肝肝移植的重症监护管理

Critical Care Management of Living Donor Liver Transplants.

作者信息

Lemon Kristina, Al-Khafaji Ali, Humar Abhinav

机构信息

Department of Surgery, University of Pittsburgh Medical Center, Thomas E. Starzl Transplantation Institute, 3459 Fifth Avenue, Pittsburgh, PA 15213, USA.

Department of Critical Care Medicine, University of Pittsburgh Medical Center, The CRISMA (Clinical Research, Investigation and Systems Modeling of Acute Illness) Center, 3550 Terrace Street, Scaife 613, Pittsburgh, PA 15261, USA.

出版信息

Crit Care Clin. 2019 Jan;35(1):107-116. doi: 10.1016/j.ccc.2018.08.001. Epub 2018 Oct 25.

DOI:10.1016/j.ccc.2018.08.001
PMID:30447773
Abstract

This article represents a review of the postoperative management of donors and recipients after living donor liver transplant, including monitoring, liberation from mechanical ventilation, nutritional support, and pain control. Vascular complications, such as biliary and sepsis, and bleeding are also discussed. Finally, commonly used immunosuppression and antimicrobial prophylaxes are reviewed.

摘要

本文对活体肝移植术后供体和受体的管理进行了综述,包括监测、脱离机械通气、营养支持和疼痛控制。还讨论了血管并发症,如胆瘘和脓毒症以及出血情况。最后,对常用的免疫抑制和抗菌预防措施进行了综述。

相似文献

1
Critical Care Management of Living Donor Liver Transplants.活体供肝肝移植的重症监护管理
Crit Care Clin. 2019 Jan;35(1):107-116. doi: 10.1016/j.ccc.2018.08.001. Epub 2018 Oct 25.
2
Perioperative Management of the Liver Transplant Recipient.肝移植受者的围手术期管理
Crit Care Clin. 2019 Jan;35(1):95-105. doi: 10.1016/j.ccc.2018.08.012.
3
[Postoperative intensive care of biliary atresia patients treated with living donor liver transplantation].[活体供肝肝移植治疗胆道闭锁患者的术后重症监护]
Zhonghua Er Ke Za Zhi. 2011 Jan;49(1):21-6.
4
Infectious Complications Following Solid Organ Transplantation.实体器官移植后的感染性并发症
Crit Care Clin. 2019 Jan;35(1):151-168. doi: 10.1016/j.ccc.2018.08.004.
5
Lessons Learned From Review of a Single Center Experience With 500 Consecutive Liver Transplants in a Region With Insufficient Deceased-Donor Support.在一个脑死亡供体支持不足地区,对连续500例肝移植单中心经验回顾所获的经验教训
Exp Clin Transplant. 2016 Apr;14(2):191-200. doi: 10.6002/ect.2014.0170. Epub 2015 May 30.
6
Major vascular complications in living-donor liver transplant recipients: single center team experience.活体肝移植受者的主要血管并发症:单中心团队经验
Exp Clin Transplant. 2015 Apr;13 Suppl 1:64-70.
7
Graft Dysfunction and Management in Liver Transplantation.肝移植中的移植物功能障碍及处理
Crit Care Clin. 2019 Jan;35(1):117-133. doi: 10.1016/j.ccc.2018.08.002. Epub 2018 Oct 25.
8
Donor Postoperative Biliary Complications After Living-Donor Liver Transplant.活体肝移植术后供体胆道并发症
Exp Clin Transplant. 2015 Dec;13(6):516-23. doi: 10.6002/ect.2014.0117. Epub 2015 May 30.
9
Vascular complications in living donor liver transplantation at a high-volume center: Evolving protocols and trends observed over 10 years.高容量中心活体供肝移植中的血管并发症:10年间不断演变的方案及观察到的趋势
Liver Transpl. 2017 Apr;23(4):457-464. doi: 10.1002/lt.24682.
10
Comparison of biliary complications in adult living-donor liver transplants performed at two busy transplant centers.比较两个繁忙的移植中心进行的成人活体供肝移植中的胆道并发症。
Clin Transplant. 2010 Sep-Oct;24(5):E137-44. doi: 10.1111/j.1399-0012.2009.01189.x.

引用本文的文献

1
The effect of nurses' attitudes towards evidence-based nursing on the level of compliance with isolation measures in nurses caring for liver transplant patients.护士对循证护理的态度对护理肝移植患者的护士遵守隔离措施水平的影响。
J Eval Clin Pract. 2025 Mar;31(2):e14113. doi: 10.1111/jep.14113. Epub 2024 Aug 18.
2
Multimodal Analgesia Decreases Postoperative Opioid Consumption in Living Liver Donation.多模式镇痛减少活体肝移植术后阿片类药物的使用量。
Mayo Clin Proc Innov Qual Outcomes. 2021 Apr 30;5(3):583-589. doi: 10.1016/j.mayocpiqo.2021.03.001. eCollection 2021 Jun.
3
Understanding, predicting and achieving liver transplant tolerance: from bench to bedside.
理解、预测和实现肝移植耐受:从基础到临床。
Nat Rev Gastroenterol Hepatol. 2020 Dec;17(12):719-739. doi: 10.1038/s41575-020-0334-4. Epub 2020 Aug 5.