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肝移植围手术期血管并发症诊治专家共识(2021版)

中华医学会器官移植学分会围手术期管理学组

中华医学会器官移植学分会围手术期管理学组. 肝移植围手术期血管并发症诊治专家共识(2021版)[J]. 临床肝胆病杂志, 2021, 37(9): 2054-2057. DOI: 10.3969/j.issn.1001-5256.2021.09.010
引用本文: 中华医学会器官移植学分会围手术期管理学组. 肝移植围手术期血管并发症诊治专家共识(2021版)[J]. 临床肝胆病杂志, 2021, 37(9): 2054-2057. DOI: 10.3969/j.issn.1001-5256.2021.09.010
Perioperative Management Group, Chinese Society of Organ Transplantation, Chinese Medical Association. Expert consensus on perioperative vascular complications for liver transplantation(2021)[J]. J Clin Hepatol, 2021, 37(9): 2054-2057. DOI: 10.3969/j.issn.1001-5256.2021.09.010
Citation: Perioperative Management Group, Chinese Society of Organ Transplantation, Chinese Medical Association. Expert consensus on perioperative vascular complications for liver transplantation(2021)[J]. J Clin Hepatol, 2021, 37(9): 2054-2057. DOI: 10.3969/j.issn.1001-5256.2021.09.010

肝移植围手术期血管并发症诊治专家共识(2021版)

DOI: 10.3969/j.issn.1001-5256.2021.09.010
基金项目: 

国家自然科学基金 81971881

河南省慈善总会肝胆相照基金 GDXZ2019008

详细信息

    通信作者:张水军,zhangshuijun@zzu.edu.cn
    [本文首次发表于中华外科杂志, 2021, 59(8): 641-645]

  • 中图分类号: R657.3

Expert consensus on perioperative vascular complications for liver transplantation(2021)

Funds: 

National Natural Science Foundation of China 81971881

Hepatobiliary Foundation of Henan Charity General Federation GDXZ2019008

  • 摘要: 肝移植术后血管并发症是造成移植肝功能障碍和移植物丢失的重要原因之一,发生率为5%~25%,病死率高。供受者复杂多变的血管条件、吻合技术、感染和移植后急慢性排斥反应等,均可引起肝移植血管并发症。血管并发症的类型多元、复杂,按血管构造可分为动脉并发症和静脉并发症;按血流特征可分为流入道(肝动脉、门静脉)障碍或流出道(肝静脉、腔静脉)障碍;按病变性质可分为破裂出血、狭窄、血栓形成及假性动脉瘤等;按发生时段可分为早期和晚期。手术方案设计与外科操作技术等,是治疗肝移植术后早期血管并发症的技术因素;而血管并发症的类型及其伴随的临床表现与诊治策略的选择及临床转归密切相关。因此,中华医学会器官移植学分会围手术期管理学组特制定《肝移植围手术期血管并发症诊治专家共识(2021版)》,旨在规范与优化肝移植受者围手术期常见血管并发症的临床诊治。

     

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  • 收稿日期:  2021-08-21
  • 修回日期:  2021-08-21
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