儿童肝移植术后ICU监护的研究进展  

Study advances on ICU monitoring after pediatric liver transplantation

作　　者：施春柳[1] 王丽芳[1] 叶青[1] 黄丹娜 黄晓波[1] 熊宾[1] SHI Chunliu;WANG Lifang;YE Qing;HUANG Danna;HUANG Xiaobo;XIONG Bin(Department of PICU,the First Affiliated Hospital of Guangxi Medical University,Guangxi,Nanning 530021,China)

机构地区：[1]广西医科大学第一附属医院PICU,广西南宁530021

出　　处：《中国医药科学》2021年第21期53-56,69,共5页China Medicine And Pharmacy

基　　金：广西医疗卫生适宜技术开发与推广应用项目(S2018016)。

摘　　要：随着移植技术、抗排斥药物及免疫研究的不断发展,肝移植已成为小儿终末期肝脏疾病治疗的唯一有效的根治性方法,可以明显改善患儿预后。相比成人全肝移植,儿童肝移植存在手术难度大,术后护理困难,术后并发症的发生风险高等问题。需要多个医学学科的共同努力、通力合作。而术后监护和治疗是肝移植的重要部分,需要对各项实验室指标及各脏器功能严密、科学的管理及适当的抗凝治疗保持移植肝脏血管通畅,抗排斥药物的应用和监测及实施精心的整体护理等是手术成功的重要保证。本文就儿童肝移植术后各脏器监护进行综述和总结。With the continuous development of transplantation technology,anti-rejection drugs and immunity study,liver transplantation has become the only effective radical method for the treatment of pediatric end-stage liver disease,which can significantly improve the prognosis of children.Compared to adult whole liver transplantation,pediatric liver transplantation is associated with greater surgical difficulty,difficulty in postoperative nursing,and a higher risk of postoperative complications.To resolve these problems,the joint efforts and cooperation of multiple medical disciplines are required.Postoperative monitoring and treatment is an important part of liver transplantation,which requires close and scientific management of all laboratory indicators and organ functions,and appropriate anticoagulation therapy to keep the patency of vessels of the transplanted liver.The application and monitoring of anti-rejection drugs and meticulous overall nursing are important to ensure the success of the surgery.This paper reviews and summarizes the postoperative monitoring of each org an after pediatric liver transplantation.

关 键 词：小儿 肝移植 术后 ICU监护 

分 类 号：R726[医药卫生—儿科]