3例不中断血流供肝获取的手术护理配合

Surgical care experiences for 3 cases of obtaining the donor liver in the uninterrupted blood flow way

目的总结在不中断血流的情况下脑死亡捐献供者肝脏获取的手术护理配合要点。方法术前做好人员准备、脑死亡捐献供体准备、环境和物品准备、多器官功能修复系统及其他相关设备准备;术中器械和设备准备,协助进行脾动脉、门静脉和胆总管插管及协助获取器官。结果 3例供体肝脏均成功实施了不中断血流器官获取术,手术时间3~4h,出血量200~400 mL。结论不中断血流供肝获取术可以最大程度地保护肝脏功能,从而极大地避免了肝移植术后的常见并发症,良好的手术配合有助于提高手术成功率。

Objective To summarize the surgery nursing cooperation points of liver procurement of brain death contributions（DBD） donor in the uninterrupted blood flow way. Methods Complete the following preoperativepreparation such as personnel,brain death donation donor,environment,surgical content,multiple organ repair system and other related equipments;intraoperative preparation includes surgical instruments and related equipments,assisting intubation of arteria lienalis,portal vein and the choledochus and the organ procurement. Result About 3 cases of donor liver procurement were successfully implemented in the interrupt blood flow way, operation time was 3 ~ 4 h,bleeding was 200 ~400 mL,an average of 300 mL. Conclusions Uninterrupted flow liver transplantation can protect liver function to the greatest extent, thus greatly avoids the common complication of organ transplantation.The tacit understanding surgery cooperation improves the rate of surgery successfully.