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上腹部多器官联合移植技术操作规范(2019版)

中华医学会器官移植学分会

中华医学会器官移植学分会. 上腹部多器官联合移植技术操作规范(2019版)[J]. 器官移植, 2019, 10(6): 638-652. doi: 10.3969/j.issn.1674-7445.2019.06.003
引用本文: 中华医学会器官移植学分会. 上腹部多器官联合移植技术操作规范(2019版)[J]. 器官移植, 2019, 10(6): 638-652. doi: 10.3969/j.issn.1674-7445.2019.06.003
Branch of Organ Transplantation of Chinese Medical Association. Technical operation specification for combined multiple organ transplantation in the upper abdomen (2019 edition)[J]. ORGAN TRANSPLANTATION, 2019, 10(6): 638-652. doi: 10.3969/j.issn.1674-7445.2019.06.003
Citation: Branch of Organ Transplantation of Chinese Medical Association. Technical operation specification for combined multiple organ transplantation in the upper abdomen (2019 edition)[J]. ORGAN TRANSPLANTATION, 2019, 10(6): 638-652. doi: 10.3969/j.issn.1674-7445.2019.06.003

上腹部多器官联合移植技术操作规范(2019版)

doi: 10.3969/j.issn.1674-7445.2019.06.003
基金项目: 

国家自然科学基金 81401324

国家自然科学基金 81770410

广州市科技计划项目 201707010208

详细信息
    作者简介:

    中华医学会器官移植学分会:何晓顺,男,1964年生,博士,教授,主任医师,主要研究方向为无缺血器官移植、多器官移植、器官捐献,Email:gdtrc@163.com;鞠卫强,男,1975年生,博士,副教授,副主任医师,研究方向为无缺血器官移植、多器官移植、器官捐献,Email:gdtrc@163.com

    通讯作者:

    何晓顺,Email:gdtrc@163.com

  • 中图分类号: R617, R619

Technical operation specification for combined multiple organ transplantation in the upper abdomen (2019 edition)

  • 摘要: 为了进一步规范上腹部多器官联合移植的技术操作,中华医学会器官移植学分会组织器官移植学专家从上腹部多器官联合移植的适应证和禁忌证、受者术前检查和准备、尸体供者器官的选择和手术、上腹部多器官修整术、上腹部多器官植入术、上腹部多器官移植麻醉技术、术后护理、术后常见并发症及处理、术后排斥反应的诊断和处理、免疫抑制剂应用原则和常用方案、术后随访等方面,制订本规范。

     

  • 表  1  上腹部多器官移植受者的主观整体营养评估指标

    Table  1.   Subjective global nutrition evaluation indexes of recipients with multiple organ transplantation in the upper abdomen

    项目 评估指标
    病史 体质量改变(腹腔积液或水肿导致)
    食欲 味觉改变和早期饱胀感;饮食恢复(热量、蛋白质、钠);胃肠功能障碍(恶心、呕吐、腹泻、便秘)
    体格检查 肌肉消耗;脂肪贮备;腹腔积液或水肿
    疾病与并发症 疾病和其他能影响营养状况的并发症,如肝性脑病、消化道出血
    营养评价 营养良好;轻度(或怀疑)营养不良;严重营养不良
    下载: 导出CSV

    表  2  围手术期静脉胰岛素剂量参考方案

    Table  2.   Reference regimen of intravenous insulin dose during perioperative period

    初始血糖(mmol/L) 负荷静脉注射量(U) 持续静脉滴注速度(U/h) 血糖不降或升高 2 h血糖降低 > 50%
    10.0~12.2 2~4 1.5~3.0 泵速增加25%~50% 泵速减少50%
    12.3~16.6 4~6 2~4 同上 同上
    > 16.6 6~8 3~5 泵速增加50%~100% 同上
    下载: 导出CSV
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出版历程
  • 收稿日期:  2019-08-29
  • 网络出版日期:  2021-01-19
  • 刊出日期:  2019-11-15

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