探讨介入治疗肝移植术后门静脉血栓护理的重要意义。

回顾性分析24例肝移植术后门静脉血栓患者的临床资料，所有患者均采用经皮肝穿刺门静脉溶栓，对患者的临床资料、影像资料、介入治疗前、后护理进行总结。

所有患者术后临床症状缓解，随访期间超声检查均提示门静脉血流通畅，未见狭窄及血栓形成。其中19例患者病情明显好转，临床症状减轻，彩色多普勒超声提示门静脉血流再通，无感染、管腔阻塞及导管脱落等并发症发生，顺利拔管；5例患者侧枝循环静脉曲张较术前明显减少或消失。

加强介入治疗肝移植术后门静脉血栓前后的护理，对溶栓再通成功至关重要。

To explore the significance of clinical care attending to patients with percutaneous transhepatic portal thrombolysis for thrombosis after liver transplantation.

Retrospective analysis of 24 patients who developed portal vein thrombosis following liver transplantation was conducted. Percutaneous transhepatic portal thrombolysis of the portal vein was performed in all patients. The clinical data, follow-up imaging data and perioperative care were summarized.

Nineteen patients(19) recovered well after the treatment with clinical symptoms relieved remarkably and vascular recanalization of the portal vein confirmed by color Doppler ultrasonography. No complications occurred and the catheters were removed successfully in these cases. The esophageal-gastric varices were alleviated in 5 patients. The clinical symptoms of portal vein thrombosis were relieved in varying degrees in all patients after PTPT. Results: All patients were followed up by color Doppler ultrasonography with confirmed patency of the portal vein in all cases. Stenosis and thrombosis were not shown.

Intensive perioperative care is of critical importance to successful thrombolysis in patients with portal vein thrombosis after liver transplantation.