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.
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.
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。
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