Abstract:

Objective To summarize our experience in postoperative volume assessment and management for adult patients undergoing split liver transplantation. Methods A retrospective analysis was conducted onthe volume management data of 71 split liver transplantation （SLT） patients between January 2024 and July 2025 inthe First affiliated hospital，Zhejiang University School of Medicine， and the incidence of related complications wasdissected. Results Utilizing an "Assessment-Intervention-Prevention" volume management strategy，the observedrates of volume-management-related complications among the 71 patients were as follows ： delayed graft function 5.63%，pulmonary edema 1.41%， acute kidney injury 4.23%， and abdominal compartment syndrome 0. The ICU stay was 8（7，11） days， and the overall hospital length of stay was 30（24，36） days. Conclusion The "AssessmentIntervention-Prevention" volume management strategy effectively balances the conflict between volume insufficiency and fluid overload， providing crucial support for improving transplant outcomes. 

Key words:

 , Split liver transplantation； , Volume assessment； , Volume management； , Risk management

摘要：

目的 总结成人劈离式肝移植术后容量评估及管理经验。方法 回顾性分析浙江大学医学院附属第一医院 2024 年 1 月至 2025 年 7 月期间 71 例成人劈离式肝移植（split liver transplantation，SLT）患者的容量管理临床资料，并剖析相关并发症发生情况。结果 本中心采用“评估 - 干预 - 防控”的容量管理策略，71 例患者移植肝功能延迟恢复发生率为 5.63%，肺水肿发生率为 1.41%，急性肾损伤发生率为 4.23%，腹腔间隔室综合症发生率为 0，ICU 滞留时间为 8（7，11）d，住院时长为 30（24，36）d。结论 “评估 - 干预 - 防控”的容量管理策略可有效平衡容量不足与液体超负荷之间的矛盾，为改善移植预后提供重要保障。 

关键词: 劈离式肝移植 , 容量评估 , 容量管理 , 风险管理