肝衰竭肝移植围手术期管理中国专家共识（2021版）

中华消化外科杂志2021年8月第20卷第8期Chin J Dig Surg,Agst2021,Val.20,Na.8·835·指南与共识肝衰竭肝移植围手术期管理中国专家共识(2021版)中华医学会器官移植学分会围手术期管理学组道信作者：张水军，郑州大学第一附属医院，450052，Email:zhangshuijun(@zz.edu.cn:郭文治，郑州大学第一附属医院，450052，Email:guowz66@163.com【摘要】肝衰竭是临床最常见的严重肝病症候群，肝移植是治疗肝衰竭最有效的治疗方法。为降低肝衰竭肝移植围手术期病死率，中华医学会器官移植学分会围手术期管理学组基于国内外该领域研究获得的循证医学证据，结合我国临床实践，制订《肝衰竭肝移植围手术期管理中国专家共识(2021版)》。该共识通过对肝衰竭肝移植术前评估、术中管理以及术后并发症的预防与治疗进行规范，旨在提高肝衰竭肝移植围手术期的诊断与治疗水平，降低肝衰竭肝移植围手术期病死率，改善预后。【关键词】肝衰竭；肝移植；共识；人指南；围手术期基金项目：国家自然科学基金(U1604282、U2004122);河南省慈善总会肝胆相照基金(GDX☑2019003)】Chinese expert consensus on perioperative management of liver transplantation in patientswith liver failure(2021 edition)Perioperative Management Group,Chinese Society of Organ Transplantation,Chinese Medical AssociationCorresponding authors:Zhang Shuijun,the First Affiliated Hospital of Zhengzhou University,Zhengzhou450052,China,Email:zhangshuijun@zzu.edu.cn;Guo Wenzhi,the First Affiliated Hospital of ZhengzhouUniversity,Zhengzhou 450052,China,Email:guowz66@163.comAbstract Liver failure is the most common clinical syndrome of severe liver diseases,andliver transplantation is the most effective treatment for liver failure.Based on evidence-basedmedicine evidence obtained from researches in domestic and foreign fields,and combined withclinical practice in China,the Perioperative Management Group of Chinese Society of OrganTransplantation from Chinese Medical Association formulates the 'Chinese expert consensus onperioperative management of liver transplantation in patients with liver failure',in order to reducethe perioperative mortality of liver transplantation patients with liver failure.This consensus formsstandardized contents on the preoperative evaluation,intraoperative management,and preventionand treatment of postoperative complications of liver transplantation in patients with liver failure,with the aims to enhance the level of diagnosis and treatment during the perioperative period,reduce the perioperative mortality and improve the prognosisKey words Liver failure;Liver transplantation;Consensus;Guideline;PerioperativeperiodFund programs:National Natural Science Foundation of China (U1604282,U2004122);Hepato-biliary Foundation of Henan Charity General Federation(GDXZ2019003)肝衰竭是临床最常见的严重肝病症候群，病死而肝衰竭肝移植围手术期病死率高达14%-25%1。率极高。肝移植是治疗肝衰竭最有效的治疗方法，基于此，有必要对肝衰竭肝移植术前评估、手术时D0L:10.3760/cma.j.cm115610-20210626-00312收稿日期2021-06-26引用本文：中华医学会器官移植学分会围手术期管理学组.肝衰竭肝移植围手术期管理中国专家共识(2021版中华消化外科杂志，2021,208上835-840.D0L:10.3760cmaj.cml115610-20210626-00312.