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原位肝移植术后肝动脉栓塞的观察及护理
引用本文:刘幼方,赖丹妮,房小翠,叶惠娟. 原位肝移植术后肝动脉栓塞的观察及护理[J]. 中国实用护理杂志, 1999, 0(2)
作者姓名:刘幼方  赖丹妮  房小翠  叶惠娟
作者单位:中山医科大学附属第一医院器官移植中心
摘    要:肝移植术后动脉血栓形成是肝移植术后严重的并发症之一。我院1993年9月~1996年6月施行了14例原位肝移植,术后2例发生了动脉栓塞,造成肝脏供血不足,进而导致肝功能衰竭,肝移植失败。本文就肝移植术后并发动脉栓塞的观察及护理进行总结,并结合文献复习,认为细致的术后病情观察,动态监测肝动脉血流状况及“T”管引出胆汁的质量是早期诊断肝动脉栓塞的关键,而及时的诊断及治疗对提高肝移植的临床效果有重要意义

关 键 词:肝移植  肝动脉栓塞  护理

The Nursing of Hepatic Artery Thrombosis Following Orthotopic Liver Transplantation
Liu You_fang,Lai Dan_ni,Fang Xiao_cui,et al.. The Nursing of Hepatic Artery Thrombosis Following Orthotopic Liver Transplantation[J]. Chinese Journal of Practical Nursing, 1999, 0(2)
Authors:Liu You_fang  Lai Dan_ni  Fang Xiao_cui  et al.
Affiliation:Liu You_fang,Lai Dan_ni,Fang Xiao_cui,et al.Department of Transplantation Surgery,the First Affiliated Hospital of Sun Yat_sen University of Medical Sciences,Guangzhou 510080
Abstract:Hepatic artery thrombosis remains one of the fetal complications following liver transplantation.From September 1993 to June 1998,14 cases of orthotopic liver transplantation have been performed in our hospital.Two of recipients developed posttransplant.Hepatic artery thrombosis resulting in graft non-function.The experience of observation and nursing for this serious complication is reported.With article review,we believe that delicate observation of posttransplant course,regular monitoring inflow of hepatic artery and careful surveying of output and quality of bile is the key to early diagnosis of hepatic artery thrombosis.The early diagnosis and proper management of this complication is essential to improve the outcome of liver transplantation.
Keywords:Liver transplantation Hepatic artery thrombosis Nursing
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