Nursing of complications during split liver transplantations perioperative period

Abstract

Objective Discuss the preventions of complications and nursing characters after split liver transplantation in children. Methods Retrospectively analyze the clinical materials of the two cases of child split liver transplantations operated by our center. Results Acute rejection and simple appendicitis happened in one patient. Both patients had some complications including pleural effusion, neuro-system and psycho-system complications, electrolyte disturbances and etc. No bile leakage and bleeding occurred. They took a favorable turn with treatments. Conclusions There were some differences between children and adults in categories of primary liver diseases, pathophysiologic characters, operation methods and complications of operations. In children, the operations were difficult and the complications were more. The postoperative managements were complicated. Emphasizing observation after operation, finding complication as soon as possible and early treatment could help living through perioperative period. Key words: Children; Split liver transplantations; Complications; Perioperative period; Nursing