首页|围术期肝缺血再灌注损伤发生机制及保护措施的研究进展

围术期肝缺血再灌注损伤发生机制及保护措施的研究进展

扫码查看
肝缺血再灌注损伤(HIRI)是肝外科手术中常见的间接损伤,可造成进行性肝内血栓形成/肝淤血、肝细胞凋亡、坏死等,是导致患者术后肝功能障碍和肝衰竭的重要因素,严重影响患者围术期的转归和预后.多年来,HIRI的发生发展机制及防治策略研究一直受到广大学者的关注.围术期麻醉药物处理、缺血预处理及低温充氧灌注技术等措施对减轻HIRI具有重要作用.本文结合近年来国内外相关文献,就围术期HIRI相关的发生机制及其相关保护措施的研究进展作一综述,以期为临床提供参考.
Research progress on the mechanism and protective measures of perioperative hepatic ischemia-reperfusion injury
Hepatic ischemia-reperfusion injury(HIRI)is a common indirect injury in liver surgery,it may cause progressive intrahepatic thrombosis/hepatic congestion,hepatocyte apoptosis,necrosis,etc,which is an important factor leading to postoperative liver dysfunction and liver failure,and seriously affects the perioperative outcome and prognosis of patients.Over the years,the research on the occurrence and development mechanism and prevention strategy of HIRI has attracted the attention of scholars.Perioperative anesthetic drug treatment,ischemic preconditioning and hypothermic oxygenation perfusion techniques play important roles in reducing HIRI.Based on the relevant literature at home and abroad in recent years,this article reviews the research progress of perioperative HIRI-related mechanisms and related protective measures,in order to provide reference for clinic.

perioperative periodhepatic ischemia-reperfusion injurymechanismprotection strategyresearch progress

杨超、曾名望、张文福、钟瑞蓬、蓝青海、王钰菲、陈靖、朱芸燕、张传武、梁伟东

展开 >

赣南医科大学第一临床医学院,江西 赣州 341000

赣州市人民医院麻醉科,江西 赣州 341000

赣南医科大学第一附属医院麻醉手术中心,江西 赣州 341000

赣州市麻醉学重点实验室,江西 赣州 341000

展开 >

围术期 肝缺血再灌注损伤 发生机制 保护策略 研究进展

江西省自然科学基金面上项目江西省卫生计生委科技项目赣州市科技计划

20224BAB206039202210876GZ2023ZSF150

2024

局解手术学杂志
重庆市解剖学会,第三军医大学

局解手术学杂志

CSTPCD
影响因子:1.063
ISSN:1672-5042
年,卷(期):2024.33(4)
  • 57