总结1例肝脏囊腺瘤患者接受离体肝切除联合自体肝移植术的护理经验。护理要点包括：在血栓高危期实施预见性护理，以降低术后血栓风险；进行精准的容量管理，预防小肝综合征；严密监测病情，及时处理胆道吻合口狭窄及胆漏；提供目标导向的个性化营养支持，改善患者营养状况；加强气道管理，有效控制肺部感染；实施分阶段运动训练，促进快速康复；提供出院准备服务，制订完善的延续护理计划。经过精心的治疗与护理，患者于术后39 d病情好转并出院。随访至术后5个月，患者状态良好。

To summarize the nursing experience of isolated liver tumor resection combined with autologous liver transplantation in a patient with giant cystadenoma of the liver.The key points of nursing included：implementing anticipatory care during the high-risk period of thrombosis to reduce the risk of postoperative thrombosis；precise volume management to prevent small liver syndrome；close monitoring of the condition，dealing with biliary anastomotic stenosis and bile leakage in a timely manner；providing goal-oriented and personalized nutritional support to improve the nutritional status；strengthening sequential airway contouring to prevent lung infections；implementing exercise in stages to promote the rapid recovery；providing discharge preparation services and continuity of care program.After careful treatment and care，the patient recovered and was discharged 39 days after surgery.The patient was followed up until 5 months after the operation and were in good condition.

R473.6

中山大学附属第三医院护理科研基金资助项目（2020HL10）