成人活体肝移植供肝切取及受体手术围手术期护理配合

Perioperative nursing coordination in adult living liver donor transplantation donor cut and recipient operation

目的总结31例成人活体肝移植供肝切取及受体手术患者围手术期护理配合的重点、要点。方法对2006年6月至2008年2月共完成的34例成人间活体肝移植供肝切取及受体手术围手术期护理配合进行回顾性分析，总结术前准备、手术配合和术中护理的主要内容。结果34例供肝切取手术及31例受体手术均获成功，未发生任何术中并发症，供肝切取平均手术时间5．5h，术中出血量341ml，其中有2例供体输血。受体平均手术时间10．8h，术中出血量1100ml。结论专业、规范、熟练的围手术期护理和手术配合是肝移植手术成功的重要环节，能有助于减少术中出血量、手术时间及术中并发症。

Objective To summarize the key points, the main points of perioperative nursing coordination in 31 cases of adult living donor liver transplantation donor cut and recipient operation. Me.otis 34 cases of adult living donor liver transplantation donor and recipient operation cut perioperative nursing were retrospectively analyzed and summarized, which were collected in our hospital from June 2006 to February 2008. Main contents of preoperational preparations, operation cooperation and intraoperative care were summarized. Results 34 cases of liver surgery and 31 cases of cut receptors were successful, and no complications were occurred. Mean operative time was 5.5 h in cut donor, and blood loss was 341 ml, of which 2 cases of donor treated with blood transfusion. Mean operative time 10. 8 h in receptor, blood loss 1 100 ml. Conclusions Professional, standard, skilled perioperative nursing are key points in liver transplant operation and can help reduce blood loss, operative time and prevent intraoperative complications.