中国肝移植受者肾损伤管理临床实践指南(2023版)  

Clinical practice guidelines for kidney injury management of liver transplant recipients in China(2023 edition)

作　　者：中华医学会器官移植学分会 中国医师协会器官移植医师分会 徐骁[2] 郑树森[3] 鲁迪 沈恬 庄莉 杭化莲 范铁艳 阳新宇 刘尊伟 季茹 杨喆 范广晗 刘剑戎 Branch of Organ Transplant of Chinese Medical Association;Branch of Organ Transplant Physicians of Chinese Medical Doctor Association;Xu Xiao

机构地区：[1]不详 [2]浙江大学医学院 [3]浙江大学医学院附属第一医院

出　　处：《中国医学前沿杂志（电子版）》2024年第8期1-13,共13页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

基　　金：国家自然科学基金重点项目(81930016);国家重点研发计划重点专项(2021YFA1100500)。

摘　　要：肾损伤是肝移植术后常见并发症,主要包括急性肾损伤和慢性肾脏病。肝移植受者肾损伤严重影响受者长期生存和生活质量,是导致受者术后死亡的主要原因之一。为了规范化和优化肝移植受者肾损伤的诊疗,中华医学会器官移植学分会和中国医师协会器官移植医师分会组织专家在《中国肝移植受者肾损伤管理专家共识(2017版)》的基础上,结合近年来循证医学证据和我国临床实践经验,制订了《中国肝移植受者肾损伤管理临床实践指南(2023版)》,以适应诊疗模式快速发展的新形势。本指南重点阐述肝移植受者肾损伤定义、分类、评估以及术前、术中和术后防治等内容,并科学规范地提出了系列推荐意见,旨在优化我国肝移植受者肾损伤管理。Kidney injury is a common complication after liver transplantation,including acute kidney injury and chronic kidney disease.Kidney injury in liver transplant recipients seriously affects their long-term survival and life quality,and is one of the main causes of death after liver transplantation.In order to standardize and optimize the diagnosis and treatment of kidney injury in liver transplant recipients,Branch of Organ Transplant of Chinese Medical Association and Branch of Organ Transplant Physicians of Chinese Medical Doctor Association organize experts and produce the Clinical practice guidelines for kidney injury management of liver transplant recipients in China(2023 edition)to adapt to the rapid development of diagnosis and treatment.The guideline is based on Chinese expert consensus on management of kidney injury in liver transplant recipients(2017 edition)and in conjunction with recent evidence-based medicine and clinical practice experience in China.This guideline focuses on the definition,classification,assessment and preoperative,intraoperative and postoperative prevention and treatment of kidney injury in liver transplant recipients.By presenting a series of scientifically standardized recommendations,the guideline is aimed to optimize the management of kidney injury in liver transplant recipients in China.

关 键 词：肝移植 急性肾损伤 慢性肾脏病 肾损伤管理 

分 类 号：R657.3[医药卫生—外科学] R692[医药卫生—临床医学]