关键词:

"> 肝移植 , 缺血 / 再灌注损伤 , 终末期肝病 , 老年 , 护理

Abstract:

Objective To investigate the clinical features of elderly patients undergoing ischemia-free liver transplantation（IFLT）and to propose nursing strategies. Methods The clinical data of 107 patients with end-stage liver disease who underwent IFLT at the Organ Transplantation Center of the First Affiliated Hospital of Sun Yatsen University from July 2017 to December 2022 were retrospectively analyzed. Thirty patients aged over 60 years old were enrolled in the elderly group and 77 patients less than 60 years old were enrolled in the control group. Results Thirty elderly patients recovered smoothly after operation. No complications such as postoperative incomplete ileus，hemorrhage and biliary complications occurred. The incidence of pulmonary infection in the elderly group was significantly higher than those in the control group（P ＜ 0.05）. There was no significant difference in the postoperative hospital stay and the control group（P ＞ 0.05）. Conclusion There are certain differences between elderly non ischemic liver transplant recipients and young recipients in the clinical rehabilitation process，especially in terms of pulmonary infection. Preoperative deep breathing，effective coughing，and respiratory function exercise，postoperative enhanced early mobilization，close observation of the condition，use of antibiotics according to medical advice，guidance on correct diet，and strengthening nutrition can reduce the incidence of pulmonary infection after liver transplantation 

Key words:

 , Liver transplantation, Ischemia-reperfusion injury, End-stage liver disease, Elderly, Nursing