成人肝移植围手术期气道管理专家共识2021版

中华肝胆外科杂志2021年11月第27卷第11期Chin J Hepatobiliary Surg,November202I,Vol.27,No.11·801··指南与共识·成人肝移植围手术期气道管理专家共识(2021版)中华医学会器官移植学分会围手术期管理学组通信作者：郭文治，郑州大学第一附属医院器官移植中心，郑州450052，Email:feeguowz@zzu.edu.cn;张水军，郑州大学第一附属医院肝胆胰外科，郑州450052，Email:hangshuijun@zzu.edu.cn【摘要】肝移植术后肺部感染发生率高，加强肝移植围手术期气道管理是保证手术成功的关键环节之一。气道管理的主要目的是减少气道并发症，降低死亡发生风险，改善受者预后。基于肝移植围手术期气道损伤引起肺部并发症危险因素的评估以及临床具体防治措施，中华医学会器官移植学分会围手术期管理学组特制定《成人肝移植围手术期气道管理专家共识(2021版)》，旨在规范与优化肝移植受者围手术期气道管理的相关流程。【关键词】肝移植；气道管理；围手术期；专家共识基金项目：中原科技创新领军人才(214200510027)：国家自然科学基金(81971881)D0I:10.3760/cma.i.cnl13884-20210714-00230Expert consensus on perioperative airway management for adult liver transplantationPerioperative Management Group,Chinese Society of Organ Transplantation,Chinese Medical AssociationCorresponding authors:Guo Wenzhi,Organ Transplant Center,the First Affiliated Hospital of Zhengzhou Uni-versity,Zhengzhou 450052,China,Email:fecguowz@zu.edu.en;Zhang Shuijun,Department of Hepato-biliary and Pancreatic Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China,Email:zhangshuijun@zzu.edu.cnAbstract]The incidence of lung infection complication after liver transplantation is high,strengthe-ning the airway management during the perioperative period of liver transplantation is one of the key steps toensure the success of the operation.The main purpose of airway management is to reduce airway complica-tions,cut down death risk,and improve the prognosis of the recipients.Based on the assessment of risk fac-tors and specific clinical prevention and treatment measures during the perioperative of liver transplantation,the Perioperative Management Group,Chinese Society of Organ Transplantation,Chinese Medical Associa-tion formulated the "Expert consensus on perioperative airway management for adult liver transplantation",aiming to standardize and optimize the related procedures for perioperative airway management of adult livertransplant recipients.Key words Liver transplantation;Airway management;Perioperative period;Expert consen-susFund programs:Leading Talents of Zhong Yuan Science and Technology Innovation(214200510027);National Natural Science Foundation of China (81971881)D0I:10.3760/cma.j.cnl13884-20210714-00230气道管理是肝移植围手术期管理的重要环节。组织相关专家，结合国内外关于气道管理的认识和良好的气道管理有利于减少气道并发症、降低死亡各移植中心的临床经验，经过研讨，制定了《成人肝率、改善受者预后、缩短住院时间，进而节约医疗资移植围手术期气道管理专家共识》。源等山。气道管理包含气道评估，氧疗，人工气道一、肝移植围手术期气道损伤引起肺部并发症的建立、维护和撒除以及并发症的防治等。气道管的术前危险因素及防治措施理的目的主要是预防及改善缺氧、促进痰液引流、避(一)术前危险因素免误吸等，从而加速受者康复。1.年龄≥75岁，或存在颈部活动度异常、有困为了规范和优化肝移植受者围手术期气道管难气道或呼吸困难表现。理，中华医学会器官移植学分会围手术期管理学组2.吸烟史：根据受者年龄和吸烟指数。任何年