肝移植术麻醉的进展

The Development of Live Transplation Anesthetic Mangement

肝移植围术期可发生多系统复杂的病理生理变化，而麻醉质量的高低将直接影响肝移植术的效果和成败，肝移植术麻醉管理重点是充分的术前准备，熟悉各项监测的临床意义，正确处理术中多系统功能紊乱，维持各重要脏器功能接近生理状态，并预防和治疗各种可能的并发症。

Complicated and multi-systematic physiopathologic changes may occur during the perioperative period of the liver transplantation. The quality of anesthesia play an important role in the transplantation which can affect the result of the transplantation directly. The key points of the anesthesia management in a transplantation of liver are to do a operation with satisfying preoperative preparation, to be familiar with the clinical meaning of all the monitoring, to have the capacity to cope with the systematical disfunction during the operation, to maintain the physiological function of the organs and to treat the potential complications.