Abstract:

To summarize the nursing experience of a patient who underwent an abandoned liver transplantation combined with associating liver partition and portal vein ligation for staged hepatectomy. The main points of nursing included the establishment of a multidisciplinary team before surgery to ensure the smooth progress of the surgery，intraoperative preservation of the abandoned liver and healthcare collaboration for precise portal vein pressure monitoring，postoperative implementation of capacity management for ensuring perfusion of abandoned liver，dynamic monitoring of abandoned liver hyperplasia and prevention of small liver syndrome，individualized immune management and prevention of acute rejection reactions，nutritional support and exercise rehabilitation，strengthening protection and isolation strategies to comprehensively reduce the risk of infection. After treatment and nursing，the patient was discharged on the 28th of surgery.

Key words: Liver Transplantation, Critical Care Nursing, Perioperative Nursing, Hepatectomy

摘要：

总结1例行“废弃肝”移植联合肝脏分隔和门静脉结扎二步肝切除术患者的护理经验。护理要点：术前组建多学科团队以保障手术顺利开展；术中做好“废弃肝”的保存、医护协作精准监测门静脉压力；术后实施容量管理、保证“废弃肝”灌注，动态监测“废弃肝”增生情况、警惕小肝综合征，采用个体化的免疫管理、预防急性排斥反应，开展营养支持与运动康复，强化保护与隔离策略、全面降低感染风险。经治疗与护理，患者于术后28 d出院。

关键词: 肝移植, 危重症护理, 围手术期护理, 肝切除术