天津医药 ›› 2019, Vol. 47 ›› Issue (4): 342-345.doi: 10.11958/20181411

• 专题研究·胆道闭锁与肝移植 • 上一篇    下一篇

胆道闭锁围术期营养状况评价的临床意义

詹江华△,王立   

  1. 天津市儿童医院小儿外科(邮编300134)
  • 收稿日期:2018-09-17 修回日期:2018-11-12 出版日期:2019-04-15 发布日期:2019-05-27
  • 通讯作者: 詹江华 E-mail:zhanjianghuatj@163.com
  • 作者简介:詹江华(1963),男,博士,主任医师,教授,博士生导师,主要从事胆道闭锁方面研究

Clinical significance of evaluation of nutrition condition in patients with biliary atresia in the perioperative period

ZHAN Jiang-hua△,WANG Li   

  1. Department of Pediatric Surgery, Tianjin Children’s Hospital, Tianjin 300134, China
  • Received:2018-09-17 Revised:2018-11-12 Published:2019-04-15 Online:2019-05-27
  • Contact: zhanjianghua E-mail:zhanjianghuatj@163.com

摘要: 胆道闭锁(BA)是以肝内外胆管进行性炎症、纤维性梗阻为特点,导致胆汁淤积及进行性肝纤维化的婴幼 儿严重肝胆系统疾病。目前研究主要关注患儿的Kasai术后并发症和自体肝生存率,而Kasai手术围术期营养状况的 价值却往往被忽视。现就 BA患儿 Kasai手术围术期营养状况对于术后自体肝生存以及对肝移植的影响进行论述, 以期对BA患儿临床治疗有所帮助。

关键词: 胆道闭锁, 肝移植, 营养, 围术期, Kasai手术, 婴幼儿

Abstract: Biliary atresia (BA) is a severe hepatobiliary disease in the infantile period characterized by progressive inflammation of intrahepatic and extrahepatic bile duct and fibrous obstruction, which leads to cholestasis and progressive liver fibrosis. Current researches mainly focus on complication and native liver survival rate after Kasai procedure of BA children, while the value of nutrition condition of BA children in the perioperative period is always ignored. This article discussed the effect of nutrition condition on complication and native liver survival rate in the perioperative period after Kasai procedure and liver transplantation of BA children. We hope that it can be helpful to the clinical treatment of BA.

Key words: biliary atresia, liver transplantation, nutrition, perioperative period, Kasai procedure, infant