活体肝移植供体术后并发症的分析与处理  

Analysis and Management of Postoperative Complication from the Donor of Living Liver Transplantation

作　　者：张中伟[1] 王文涛[1] 杨加印[1] 严律南[1] 徐明清[1] 李波[1] 曾勇[1] 文天夫[1] 

机构地区：[1]四川大学华西医院肝移植中心,成都610041

出　　处：《四川大学学报（医学版）》2007年第3期539-542,共4页Journal of Sichuan University(Medical Sciences)

摘　　要：目的探讨活体肝移植供体术后并发症及其处理。方法回顾性分析了我院肝移植中心的52例活体肝移植供体术后并发症发生的类型和临床处理方法。结果52例活体肝移植供体术后都出现肝功能实验室指标的变化,其中48例术后1周内恢复正常;4例恢复时间大于1周。2例供体术后切口脂肪液化,1例供体术后出现膈下积血,1例供体术后发生门静脉血栓,1例供体术后发生小量乳糜漏,1例行胸腔积液穿刺引流。所有术后并发症得到及时的发现和处理,供体恢复良好。结论经过严密的术前检查和评估、充分的术前准备、细致的术中操作和全面的术后监护与治疗,活体肝移植供体的手术安全性较高。Objective To explore the postoperative complications and managements in 43 donors of living liver transplantation. Methods Clinical data of 52 donors of living liver transplantation were studied retrospectively. Results The liver function changes were observed in all donors. The liver function of 48 donors got recovery in a week, but the liver function of 4 donors recovered beyond a week. 2 donors had the fat liquefaction of incision. 1 donor had the hematocele under diaphragm. 1 donor had portal vein thrombus. 1 donor had chyle leakage. 1 donor needed pleural punctured for hydrops outflow. All postoperative complications were detected and treated in time, and all donors got a good recovery. Conclusion The donors of living liver transplantation are safe with rigorous preoperative examination, sufficient preoperative preparation, careful operation and intensive postoperative care.

关 键 词：肝移植 手术后并发症 胸腔积液 

分 类 号：R657.3[医药卫生—外科学]